Compliance: Prepare For MACs To Monitor Your RAP Stats
Will you stick out like a sore thumb? You’d better rein in any sloppy RAP practices you’ve slid into, or you could get caught up in Medicare’s crackdown on Request … Continue Reading →
Tag: SNF
Quality: Get To Know These 6 Hospice Compare Revisions Medicare Just Finalized
Hospices are enjoying a well deserved break from dramatic payment or policy changes in the 2019 final rule. But the regulation does include a number of Hospice Compare revisions that … Continue Reading →
Finance: Medicare Pledges To ‘Better Align Hospice Payments With Costs’ In Final Rule
Shore up your cost reporting procedures ASAP. It remains unclear for now whether Medicare will take the route of major payment reform or not — and you can expect your … Continue Reading →
Regulations: Hospices’ Wage Index Arguments Fall On Deaf Ears
Medicare holds fast to its volatile wage index system. One significant component affecting your payment rates will continue as usual next year — despite the industry’s frustration with the methodology. … Continue Reading →
Regulations: Hospice PA Change Set To Take Effect Oct. 1
PA provision should improve hospice access. It may not go as far as some hospices want, but the welcome Physician Assistant change in the 2019 hospice payment final rule will … Continue Reading →
Hospice: Know Your Options When It Comes To Drug Reporting
CMS: Stick with one reporting method. The 2019 hospice payment final rule offers providers some welcome clarifications on the changed drug reporting requirements. Old way: Currently, Medicare requires hospices to report … Continue Reading →
Fraud & Abuse: Intermediate Sanctions, Tougher Medical Review, And More May Be Ahead
Prepare for these actions focused on GIP, nursing facility patients, and more. The OIG has issued a fraud-fighting wish list for hospices, and many of the recommendations would make life … Continue Reading →
Referrals: Referral-Limiting Transfer Policy Hits Hospices This Fall
Plus: OIG examines HH transfer policy. Activity is up around Medicare’s proration policy for patients who are discharged “early” from the hospital. For hospices, the Bipartisan Budget Act of 2018 … Continue Reading →
Hospice: Know Your New Hospice Billing Ins And Outs
System changes ease NOE corrections. It’s essential to stay up to date on Medicare billing guidance, and a recent MLN Matters article shows you why. June 7 MLN Matters article SE18007 reviews changes to … Continue Reading →
Fraud & Abuse: OIG Pushes HHA Surety Bond Requirement — Again
Watchdog agency isn’t letting this recommendation go. A major home health agency burden nearly tops the latest list of fraud-fighting recommendations from the HHS Office of Inspector General. In its “2018 … Continue Reading →