Category: Home Health

Post-Acute Wound Management and Patient-Derived Reimbursement Models

By: Roger B. Schechter, MD, Fellow of American College of Wound Specialists; Chief Medical Officer, Synergy Wound Technology Wound care has always been a considerable challenge in the post-acute setting. Patients with skin breakdown usually have a plethora of chronic comorbid conditions. Chronic wounds themselves, including pressure injuries, diabetic foot ulcers, venous leg ulcers, severe […]

5 Ways Interoperability Can Benefit Home-Based Care

By: Navin Gupta, VP, Home Health, Hospice & Private Duty, MatrixCare The digital age has created an overhaul of technology within the healthcare industry – transforming health records into collections of electronic data that should simplify administration processes for providers everywhere. But just because health records have gone digital, doesn’t mean it makes communication any […]

New change request outlines rebuttal process for providers with deactivated Medicare billing

CMS has issued a change request outlining the rebuttal process for providers or suppliers whose Medicare billing has been deactivated. CR 10978 provides instruction to Medicare Administrative Contractors (MACs) to advise providers of rebuttal rights and how to receive and process rebuttals. The change request takes effect Dec. 31, 2019. Providers can submit a rebuttal […]

Agencies out of compliance with quality reporting program requirements to receive notification letters

Home health agencies found out of compliance with the Home Health Quality Reporting Program (HHQRP) will soon receive notification from CMS.  Non-compliance will affect agencies’ CY2020 annual payment update. Medicare Administrative Contractors (MACs) mailed non-compliance notifications Oct. 1. The notifications are also available in agency CASPER folders as of Oct. 1. The agencies that receive a […]

Hospice period dates not calculating correctly through Common Working File

Some hospice period dates have not been calculating correctly through the Common Working File (CWF), according to Medicare Administrative Contractor (MAC) Palmetto GBA. Period three and later should be no more than 60 days from the start through termination dates. Palmetto found that third or later periods have more than 60 days calculated in the […]

Bill would automate prior authorization through Medicare Advantage plans

Congress is considering legislation that would automate the prior authorization process within Medicare Advantage plans. Home health agencies and other providers under Medicare Advantage plans must receive prior authorization before they can visit a patient, which has caused some frustration among agencies. For example, a patient is being discharged from the hospital to home health […]

Hospice provider preview reports available, need review within 30 days

Providers have until Oct. 19, 2019, to review their most recent Hospice Item Set (HIS) and hospice CAHPS results. Preview reports include HIS quality measure results from quarter 4, 2017 to quarter 3, 2018 and facility-level hospice CAHPS survey results from quarter 4, 2016 to quarter 3, 2018. The results will be publicly reported in the November 2019 […]