Round timing is provider-specific under new initiative. Getting a clear picture of the Targeted Probe & Educate program’s impact on the home care industry is complicated by “round” confusion. Old … Continue Reading →
Ignoring ADRs pretty much guarantees more review, expert warns. The consequences for not performing well under Targeted Probe & Educate review can be harsh — and eventually fatal to your … Continue Reading →
Plan of Care denials top Palmetto GBA’s list. Another HHH MAC has released preliminary Targeted Probe & Educate review results, and they again bode ill for home health agencies. HHH … Continue Reading →
Postpayment review limits your documentation improvement options. Don’t expect the changes in the Pre-Claim Review program to significantly ease the program’s burden. Many problems continue to accompany the proposed demonstration … Continue Reading →
Know these 3 crucial differences between the old and new PCR program. Just when you thought Pre-Claim Review was in your rearview mirror, Medicare has put the reviled prepayment review … Continue Reading →
Watch out for this common supervisory mistake when furnishing staff criticism. Your employees look to you for constructive ways to improve their performance. Avoid the temptation to spout what management … Continue Reading →
Warning: Proper disposal of Protected Health Information is an OCR hot spot. Ensuring the safety of your patients’ protected health information on your computers, networks, and mobile devices is important. … Continue Reading →
Expert: Crucial data missing from TPE report. One HHH Medicare Administrative Contractor’s TPE results report provides some valuable data that will help agencies navigate TPE medical review. For example: For the … Continue Reading →
Therapy visit medical necessity comes in second. Know what denials your claims may be most vulnerable to by perusing the top five denial reasons under the first six months of … Continue Reading →
Denial rates over 25% will keep you on TPE review at this MAC. The results from the first wave of Targeted Probe & Educate are rolling in, and they point … Continue Reading →
