Being Prepared for PDGM: A Closer Look at the Changes
Home health agencies need to start preparing for the biggest shift in reimbursement since the introduction of PPS in the late 90s. The Patient Driven Groupings Model (PDGM) is going …
What We Hear
The coming changes to hospice in 2019 are going to be generally a good thing! However, the recent report from OIG casts some shadows on providers as more compliance and …
OIG Report Blasts Hospice & CMS Oversight
A recently released OIG report blasts hospices and CMS for lack of oversight. The report detailed multiple instances, totaling 16 different areas, in which CMS and providers failed to comply …
Does Your Agency Provide Private Duty/Personal Care?
Is your agency or an affiliated entity providing private duty, private pay or personal care services to the same market you provide skilled services? If not, you could be losing …
OIG Alert: Medicare Services during Hospice Election
CMS’ Office of Inspector General (OIG) is looking at patients who receive hospice and also receive other Medicare services. The OIG announced as part of the continuing work to ensure …
Humana as a Hospice Provider
Humana has been on an aggressive streak lately to acquire some of the largest hospice providers in the nation on top of acquiring a home health chain. But why? It’s …
Maximize Reimbursement: Train Intake Staff
Did you know that maximizing reimbursement begins with the very first contact with your agency either from a patient or an Insurer? Each phone call, fax or electronic transmission must …
Hospice Business: What We Hear
Hospice providers are continuing to play a critical role at the end stages of a patient’s life. More and more families are aware of this and push relatives to make …
Medicare Beneficiary Numbers – New Medicare Numbers and IDs
Medicare numbers are now in the process of being replaced. Member’s current HICN will be replaced with an alphanumeric combination called the Medicare Beneficiary Number (MBI). MBIs will be randomly …
Publicly Traded Spotlight: Amedisys & Private Duty
Amedisys has been doing something that started a couple years ago and caught many by surprise. Their acquisition of private duty home care providers seems to be gaining steam. Starting …