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Wednesday, 03 March 2010 |
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The federal Form 1099-Misc is the form sent to healthcare providers, including home health agencies, to report the payments received from the Medicare program during the calendar year. The information on this form is also shared with the Internal Revenue Service (IRS) and is used to verify, in part, the revenue reported on a corporation or individual’s federal income tax return. For this reason, the accuracy of this document is critical, especially for agencies that are 100% Medicare. Read full article.
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Saturday, 21 November 2009 |
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On October 1, 2009, the Office of Inspector General (OIG) released its yearly Work Plan of initiatives for federal fiscal year 2010 which began on October 1, 2009. Areas of particular interest to Home Health Agencies (HHAs) are:
1) Part B Payments for Home Health Beneficiaries: The OIG will review Part B payments for services and medical supplies furnished to Medicare beneficiaries in home health episodes to ensure that no payments are made to outside suppliers for services and medical supplies that are included with the HHA prospective payment. They will also examine the adequacy of controls established to prevent inappropriate Part B payments in this area. Read full article.
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Tuesday, 17 November 2009 |
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On October 30, 2009, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for the 2010 update to the home health prospective payment system (HH PPS). The net base rate increase for 2010 is approximately 1.75%. This increase is the result of a 2% market basket increase, reduced by a scheduled 2.75% case mix creep adjustment, and again increased by a 2.5% redistribution of funding from outlier payments to the base rate. Read full article.
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Friday, 09 October 2009 |
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The Centers for Medicare and Medicaid Services (CMS) is in the process of starting a provider revalidation action for all providers. Each Regional Home Health and Hospice Intermediary (RHHI) and A/B MAC (including Palmetto GBA) will begin revalidating all home health agencies who are currently billing Medicare and who do not have an established enrollment record in the Provider Enrollment Chain and Ownership System (PECOS). Read full article.
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Wednesday, 07 October 2009 |
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Different Medicare provider types are reimbursed under different payment methods. This bulletin applies to home health agencies only.
For a seasonal flu or pneumococcal vaccination, there is an administration component and vaccine component to be billed to Medicare Part B. The administration is billed using bill type 34X, revenue code 0771, diagnosis code V04.81 for influenza vaccination, V03.82 for pneumococcal vaccination, or V06.6 for both influenza and pneumococcal vaccinations, and HCPC Code G0008 for influenza administration and HCPCS Code G0009 for pneumococcal administration. Reimbursement is based on the Hospital Outpatient Prospective Payment System (OPPS) amounts and is subject to the lower of the fee schedule amount or billed charges. If the charges are less than the fee schedule amount below, then reimbursement will be at the lower charged amount. Read full article.
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Home Health Care 
