In CMS
Mar 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) issued on March 31 a proposed rule (CMS-3819-P2) to delay the effective date for the Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA CoPs) final rule. The current effective date for the final rule is July 13. The proposed rule would delay the effective ...
In Coding
Jan 27th, 2017
If you’re 35 to 44 years old and have children under 18 years old, you’re more likely to switch primary care providers (PCP) if he or she provides telehealth visits. If so, you’re part of 20 percent of the population who’d do so, recent Harris Poll studies indicate. The studies, commissioned by American Well, a telehealth ...
In CMS
Jul 6th, 2016
Medicare payments to home health agencies in 2017 will be reduced by 1.0 percent, or $180 million, projects the Centers for Medicare & Medicaid Services (CMS) in a proposed rule, published in the July 5 Federal Register. The payment reduction reflects a 2.3 percent Home Health Prospective Payment System (HH PPS) update percentage equaling $420 ...
The medical home has become a widely accepted model for how primary care should be organized and delivered throughout the healthcare system. It is a place where patients are treated with respect and dignity, to enable strong and trusting relationships with providers and staff. Above all, the medical home is a model for achieving primary care ...
Dec 28th, 2015
There are all sorts of reasons why a Medicare claim may be denied. Sometimes, it’s because of non-coverage. More often, it’s because of human error. Many human errors are due to misinformation; but, just as many (if not more) are the result of complacency. For example, let’s consider item 17 on the CMS-1500 claim form. ...