Home Health Line
02/25/2013
Palmetto GBA has flagged two HIPPS codes for medical review edits. Here’s a look at those codes, their corresponding HHRGs and some clues as to what services they represent.
02/25/2013
The data below show the five HIPPS codes with the highest rate of denials from Medicare administrative contractor (MAC) Palmetto GBA.
 
02/25/2013
If you got a comparative billing report (CBR) in January, get ready for another: The initial reports sent by CMS contractor SafeGuard Services contained errors that will be corrected in new versions the contractor plans to send around Feb. 25. Once you get that corrected report, use it to shape your internal audits and staff training.
 
02/25/2013
Trade a possible 3% discount on Medicare’s standard episode payments for a share of overall savings potentially larger than that and you have a motive for home health participation in CMS’ first demonstration of bundled payments to post-acute providers.
 
02/25/2013
CMS will clarify its instructions on reporting a new modifier to address questions it has received since the original transmittal was released.
 
02/18/2013
Audit your agency’s compliance with Medicare rules for service locations and physician orders to reduce your risk of denials when new CMS claim requirements kick in this summer.
 
02/18/2013
Note that the modifier CMS also will require you to report has not yet been released.
02/18/2013
A written dress code for clinicians and aides not only helps your agency convey an appearance of professionalism, but can also increase visibility in the community and reduce infection risk. 
02/18/2013
If your dress code requires clinicians to wear a specific uniform to work, make sure the way that cost is covered complies with federal and state wage and hour laws. Violations could cost you thousands in back pay and damages.
 
02/18/2013
As hospices wrap up their first round of quality data reporting, they share some of the lessons learned collecting data for the “comfortable dying” measure, which could influence their referrals in the future.

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