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Tuesday, 24 August 2010 |
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The Office of Inspector General (OIG) recently released a report to the Centers for Medicare and Medicaid Services (CMS) summarizing the errors found by the Comprehensive Error Rate Testing (CERT) program for 2009. Of the claims reviewed by CERT that were found to have errors, 4% were from claims submitted by Home Health Agencies (HHAs). Read full article.
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Wednesday, 04 August 2010 |
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On July 23, 2010, the Centers for Medicare and Medicaid Services (CMS) published the 2011 Proposed Rule for Home Health. This Proposed Rule contains the annual changes to the Prospective Payment System (PPS) reimbursement, as well as certification, documentation, ownership, and capitalization changes. Read full article.
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Thursday, 22 July 2010 |
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The Centers for Medicare and Medicaid Services (CMS) has released its annual changes to the ICD-9 codes that will become effective on October 1, 2010. An ICD-9 code is required on all paper and electronic home health claims billed to Medicare fiscal intermediaries or A/B Macs. Some of these code changes may affect home health reimbursement. We have highlighted some of the changes that will affect the OASIS case mix scores, as well as the reimbursement for non-routine medical supplies. Read full article.
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Monday, 14 June 2010 |
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The Provider Audit Department of Palmetto GBA is implementing a paperless method for the final settlement process of their Medicare cost reports. In order to have a seamless transition into the paperless final settlement process, Palmetto GBA is taking the following measures to ensure they send the settled Medicare cost report to the correct e-mail address of the provider:
· Provider Reimbursement will send a reminder letter prior to the due date of the Medicare cost report requesting updated contact information.
· Provider Audit will call each provider to obtain or confirm the correct e-mail address prior to sending out the final Medicare cost report. Palmetto would appreciate a confirmation e-mail from the preferred e-mail address of the provider.
· The next Notice of Program Reimbursement (NPR) for your Medicare cost report will be sent via e-mail. In order to view the file, you must have Adobe Acrobat Reader installed on your computer. Adobe Reader can be downloaded at http://get.adobe.com/reader/.
Read full article.
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Wednesday, 12 May 2010 |
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On May 5, 2010, the National Association for Home Care and Hospice (NAHC) announced that the Centers for Medicare and Medicaid Services (CMS) will revoke their Transmittal 318 (Change Request 6750) regarding the “36-month rule” for the transfer of Medicare enrollment along with a sale or change of ownership of a home health agency (HHA). Read full article.
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Home Health Care 