Addressing Claims with Reason Code 37253: A Helpful Article from CGS
Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when …
Insights and News
Home Health & Hospice Providers FISS DDE Annual Recertification Must be Completed by September 30th!
Each year, Medicare providers are required to recertify their FISS DDE user access. September 30, 2019 is the last day to complete the Annual DDE PPTN Recertification form. Failure to recertify will …
California Law Targeting Gig Economy Workers Could Hurt Home Health Agencies
California’s Assembly Bill 5 (AB 5) passed in the State Senate last week, and is expected to be signed into law. AB5 is intended to ensure that “gig” workers like …
New Details about the HOPE Assessment Tool
As required in the 2020 Hospice Final Rule, CMS is moving forward with their development of a new patient assessment tool called HOPE (Hospice Outcomes and Patient Evaluation). The two …
Hospice Provider Preview Reports are Available Now
Hospice provider preview reports and Hospice CAHPS Survey provider preview reports have been updated and are now available. These two separate reports are available in your CASPER non-validation reports folder. …
CMS Issues a New Rule Targeting Fraud in Federal Insurance Programs
CMS issued a final rule designed to stop fraud before it happens by keeping unethical providers out of federal health insurance programs like Medicare. CMS wants to end what they …
Valuable Webinars for Hospice Providers from CGS: Stay Ahead of the Curve!
CGS has uploaded recordings of several valuable hospice-related webinars. All hospice providers should take a look at the topics offered and make sure that they’re staying on top of compliance. …
CMS Expands on Plans to Increase Oversight in Nursing Homes
Last April, CMS announced a five-part strategy to increase safety and quality in nursing homes. Their five goals are: 1: Strengthen Oversight 2: Enhance Enforcement 3: Increase Transparency 4: Improve …
Hospice Compare Quarterly Refresh is Available Now
The August 2019 quarterly Hospice Compare refresh of quality data is now available. It is base on HIS quality measure results from data collected from Q4 2017 to Q3 2018, …
HHS Proposes the Removal of Some Addiction Treatment Privacy Restrictions
Today, HHS announced proposed changes to the regulations that govern the confidentiality of patient records created by federally-assisted substance use disorder treatment programs. The most notable change would enable primary …