“Our high Medicaid population required us to attest that we have a Corporate Compliance Program. Strategic Solutions came in and helped us organize our current efforts and formalize an ongoing Compliance Program that meets the state and federal guidelines. They simplified a process that would have ...
The Home Care Coding Specialist—Diagnosis (HCS-D) credential is earned by professionals skilled in classifying medical data from home health patient records. Coding specialists review patients' records and assign numeric codes for each diagnosis. Successful HCS-D candidates will possess expertise in th...
Service providers can learn about other implementation requirements including applicable billing codes on theNYS EVV website. Impacted Programs The Cures Act does not require EVV for specific programs, but for services. Regardless of the program, if services rendered are Medicaid-funded PCS or HHCS ...
Free Download: Sample Home Health Care Business Plan Template Do you find yourself driven by both entrepreneurial and humanitarian interests? Is it important to you to build a business you can be proud of, knowing you are making a positive differenc
In April 2022, Physicians Partners of Americareached a $24.5 million settlement to resolve allegations that it violated the False Claims Actby billing Medicare and Medicaid for medically unnecessary urine drug tests. Also in April, Providence Health & Services Washingtonsettled for $22...
It may be due to the National Correct Coding Initiative (NCCI). The NCCI was implemented in 1996 by CMS (formerly HCFA) to identify and eliminate incorrect billing of medical services by looking at all combinations of codes “edits” on a single patient encounter often resulting in a claim ...
Automatically associates codes with care and generates billing report. Read More Preventative care management has been proven to have Statistically Significant Clinical Results * “The program is working. The Center for Medicare & Medicaid Innovation (CMMI) recently released a report showing the program...
Billing Made Easy The fastest, easiest way to do Ohio Medicaid home health claim billing. Try it Free for 30 Days “Professional and friendly team” Karen, LPN in Concord “Very qualified and efficient” Gail, Agency in Columbus Independent Provider...
Useful data and analytics are critical in-home health care. Metrics that need frequently checking are the status of claims in the billing process, which claims came back “Return to Provider” (RTP) or rejected, and the reason codes for those claims. If there is still uncertainty about taking...
It may be due to the National Correct Coding Initiative (NCCI). The NCCI was implemented in 1996 by CMS (formerly HCFA) to identify and eliminate incorrect billing of medical services by looking at all combinations of codes “edits” on a single patient encounter often resulting in a claim ...