Centers for Medicare and Medicaid Services (CMS) in March 2003 instructing insurance companies to publish a provider education article regarding home health consolidated billing (HHCB) and provider liability. The article is designed to remind independent therapists and DME suppliers of their responsibility...
CMS was established in 2011 recruiting and retaining the best candidates from their specialties in billing, authorizations, business development and Medicare compliance. This team is dedicated to supporting the physician's desired outcome while providing quality products determined and fit by a qualified ...
along with hospice claims submission clarifications. In MLN Matters 12626, CMS encouraged agencies to “make sure your billing staff knows about these changes.”
Only 51 home health agency received the low rating of one star, while over 2,000 received the top ranking of five stars in the Centers for Medicare and Medicaid Services new star ratings for home health agencies. Home Health Compare currently has star ratings for 5,743 agencies, ...
The CMS PACT policy and the use of home healthcare helped reduce hospital readmissions for recently discharged patients and lower hospital expenditures.
HHAs should prepare for the shift from a 60 to 30-day episode of care, as well as 30-day billing periods. Given the PDGM’s focus on clinical indicators as payment determinants, thorough and accurate documentation will be critical to HHA reimbursement. To that end, HHAs should ensure ...
Delay of the implementation of a split (or shared) visit based on time spent by the billing practitioner until at least January 1, 2025. Creation of new benefit categories for behavioral health services for marriage and family therapists and mental health counselors. Extension of several wai...
It states that the beneficiary of Part B rebilling policy will receive valuable health care services especially in an outpatient setting. It also notes that the CMS identifies the types of services under Part B policy and provides services in an outpatient prospective payment system (OPPS)....
CMS proposes updates to the payment rates for Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs) furnished in HOPDs and Community Mental Health Centers (CMHCs). The Proposed Rule includes revisions to the coding and billing requirements for PHP and IOP services to...
To secure payment, CMS has advised these suppliers to append a KY modifier on Healthcare Common Procedure Coding System (HCPCS) codes that they will be using when submitting claims. Some of the affected HCPCS codes are cited including those for hospital beds and walkers. 年份: 2011 ...