Mar 5th, 2020
State surveyors will focus on infection control procedures at healthcare facilities. The Centers for Medicare & Medicaid Services (CMS) issued a call to action, March 4, to remind healthcare providers nationwide that they are required to maintain infection control procedures. State survey agencies and accrediting organizations will focus their facility inspections – starting with nursing ...
In Billing
Jan 30th, 2020
The clock is ticking for OASIS matching edits to begin returning claims. Another week has gone by under the Patient-Driven Groupings Model with no solutions announced for OASIS submission problems with the new iQIES system. Why Are OASIS Files Being Rejected? At press time, 94 percent of home health agencies (HHAs) had gotten onto the ...
Dec 4th, 2019
While there has been more than a $5.3 billion decrease in estimated improper payments for home health services over the past three years, the projected improper payment amount for home health services during the 2018 report period was $3.2 billion. This translates to a Medicare Fee-For-Service (FFS) improper payment rate of 17.6 percent, accounting for ...
In Billing
Nov 25th, 2019
Three new HCPCS Level II G codes are added to the Medicare Telehealth Services list for Calendar Year (CY) 2020. These codes describe new bundled services for the treatment of opioid use disorders (OUD). The Centers for Medicare & Medicaid Services (CMS) states in the 2020 Physician Fee Schedule final rule, “By creating a separate ...
Sep 3rd, 2019
In response to Hurricane Dorian, a public health emergency (PHE) is in effect for Puerto Rico, Florida, Georgia, and South Carolina. A temporary waiver of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; special enrollment opportunities for hurricane victims; and improved access to dialysis care are now in place. The PHE in Puerto ...