OASIS Considerations for Medicare PPS to PDGM Transition
A resource to assist agencies with OASIS considerations during the PPS to PDGM transition is now available in the Downloads section of the OASIS User Manuals webpage. This document provides …
Less than a Month Left to Register for iQIES! Home Health Agencies Need to Sign Up Now!
All home health agencies need access to the upgraded Internet Quality Improvement and Evaluation System (iQIES) to submit assessment data beginning January 1. The rollout of iQIES will not require …
CMS Releases the 2020 Home Health Final Rule
CMS issued a final rule that finalizes routine updates to the home health payment rates for 2020. This rule also includes: a modification to the payment regulations pertaining to the …
Important Update: RAP Overpayment Demand Letters!
IMPORTANT INFORMATION FROM PALMETTO FOR HOME HEALTH PROVIDERS: “As of October 1, 2019, due to the implementation of CR 10776, Home Health Agencies (HHAs) may have received a demand letter …
Review Choice Demonstration for Texas is Delayed Until March 2, 2020
From CMS’ Review Choice Demonstration website: To allow Home Health agencies to transition to the Patient-Driven Groupings Model (PDGM), which becomes effective on January 1, 2020, CMS is rescheduling the …
Medicare and Medicaid Payment Cuts Reach a Tipping Point for Hospitals
Reductions in federal payments to hospitals will total $252.6 billion from 2010 through 2029, reflecting the impact of a series of legislative and regulatory actions, according to a new study …
New Demand Letter Process Affecting Auto-Cancelled RAPs
CMS issued Change Request (CR) 10776, which implemented a new demand letter process affecting auto-cancelled RAPs. Effective October 1, 2019, a demand letter is issued when an overpayment exists as …
Home Health Review Choice Demonstration (RCD) Starting Soon in Texas
The choice selection period will begin on October 16, 2019 and end on November 14, 2019 for Home Health Agencies (HHAs) located in Texas, who submit claims to Palmetto GBA, the Jurisdiction M Medicare …
Home Health Quality Reporting: Non-Compliance Letters
CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY …
Addressing Claims with Reason Code 37253: A Helpful Article from CGS
Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when …