Tag: visits

Telehealth proposal would require patient consent, set visit limits

The new version of the Home Health Emergency Access to Telehealth (HEAT) Act bill introduced in the U.S. Senate on April 22, has industry leaders hopeful for action this session, but a change to the law will likely come with conditions. The bill, S.1309, would authorize Medicare reimbursement for home health services provided through telehealth […]

New York state reinstates restrictions for nursing home visitations

Despite CMS recommendations to reopen nursing homes to visitors, New York state has taken a step back and reinstated restrictions to nursing homes and SNFs located in COVID-19 hotspots. In a four week period ending October 11, New York nursing homes reported 713 confirmed and suspected COVID-19 cases, which is more than twice the number […]

OIG: Medicare overpaid HHAs nationally $191.8 million in audit period

A recent OIG report suggests that the MACs could be recouping money they believe was incorrectly paid for home health episodes that ended with five to seven visits, slightly above the LUPA thresholds in PPS. And they could be enforcing stricter oversight of periods just above new LUPA thresholds in PDGM. Twenty out of 25 […]

Ask the expert: Physician visit schedule

Q: My question is in regard to physician visits and certification. When a resident who is in a Medicare A stay, returns to the hospital and is admitted, does the 14, 30, 60, etc. physician visit schedule start over? I cannot locate this information. A: When a resident in a Medicare Part A stay is […]