The 8th annual Compliance Cruise, an educational opportunity organized by the law firm of Pearson & Bernard, has been set for January 13-20, 2019.
On February 1, 2017, a judge in the so-called Jimmo case ordered the Centers for Medicare and Medicaid Services (CMS) to enter into a Corrective Action Plan (CAP). The CAP requires CMS to provide more education about the addition of a coverage standard for maintenance therapy. That is, CMS is required to provide additional education to providers regarding the fact that improvement is not required in order to be eligible for Medicare coverage for skilled care in skilled nursing facilities (SNFs), home health agencies (HHAs), outpatient therapy centers and inpatient rehabilitation hospitals.
ATLANTA–(BUSINESS WIRE)– Curaport, LLC, the new online resource for healthcare education, has announced new features and content for 2017. The Curaport web site now offers new webinars, podcasts, articles and an expanding library of on-demand content designed to give users and subscribers access to quality healthcare information and continuing education tools.
Recovery Audit Contractors are revealing early signs that they may soon take an interest in home care. What can we learn from the way they have been treating hospitals? A new survey indicates we can learn a lot. Nearly three quarters of hospitals believe the RAC program does reduce fraud and errors. At the same time, 60% of them find the audit process unfair. Most significant, nearly one quarter of them have had to hire additional staff to handle auditor documentation demands and short timelines.
20% of fee-for-service Medicare patients are readmitted within 30 days of discharge, and 34% return to the hospital within 90 days. Reasons cited most often are unclear discharge directions, especially for medications, and lack of follow up communication with caregivers, problems home care is uniquely positioned to mitigate. A new study of ways home care can reduce hospital readmissions is underway with results expected in time for this year’s NAHC Annual Meeting. Delta Health Technologies will underwrite the study, which will be conducted by Fazzi Associates.
More than the latest buzzword, Revenue Cycle Management is a philosophy for running a business. In today’s Medicare, Medicaid, Private Duty and non-skilled homecare services businesses, managing revenue from beginning to end means improving compliance as much as it means ensuring complete and accurate billing processes and A/R follow up procedures.
Partners 7th Annual Connected Health Symposium Payment denial/appeals consultant has urgent message for Medicare providers
Even before President Obama’s promise to hire bounty hunters to eliminate waste and fraud from Medicare, Regional Home Health Intermediaries had been stepping up their rate of payment denials. Most often, justifications to withhold payments for already provided nursing or therapy services center around “lack of medical necessity.” In case after case, attorneys and appeals consultants […]
Dear Ms. Smith, After our long relationship as consultant and client, please know that I care for you and Mr. Smith and your business. Otherwise, I would not have gone through this much effort to draw your attention to a situation that I consider critical to your agency’s survival. I would ask that you examine […]
In our previous story, we reprinted a letter from a payment denials and appeals consultant who told a client he would stop representing their appeals until they improved their staff’s clinical documentation skills. At the end of the letter, he offered some examples of what kind of documentation they were giving him when he argued […]
