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Category: Home Health Billing

Home Health Billing / Home Health Today

Home Health Review Choice Demonstration (RCD) Starting Soon in Texas

The choice selection period will begin on October 16, 2019 and end on November 14, 2019 for Home Health Agencies (HHAs) located in Texas, who submit claims to Palmetto GBA, the Jurisdiction M Medicare …

Home Health Billing / Home Health Today

Home Health Quality Reporting: Non-Compliance Letters

CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY …

Home Health Billing / Home Health Today

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 …

Home Health Billing / Hospice Billing / Medical Billing & Collections

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 …

Home Health Billing / Home Health Today

CMS Proposes Eliminating RAPs for Home Health Agencies

Today CMS issued a proposed rule that has broad-reaching effects across the home health care industry. CMS is proposing to address potential Medicare fraud by phasing out pre-payments for home health …

Home Health Billing / Home Health Today

CMS Releases New Home Health Change of Care (HHCCN) Form

CMS has released an updated Home Health Change of Care (HHCCN) Form.  Effective July 1, 2019, all Home Health Agencies will be required to use the renewed form with the …

Home Health Billing / Home Health Today

CMS Releases a New Version of OASIS for 2020

CMS has announced changes to OASIS for 2020. Fortunately for providers, they are relatively minor and will be easy to implement. From CMS: “Beginning January 1, 2020, changes to the …

Home Health Billing / Home Health Today

CMS Finalizes Medicare Advantage and Part D Payment and Policy Updates for 2020

On Monday CMS finalized a rule giving Medicare Advantage plans a 2.53% pay raise in 2020. This is far better than the 1.59% raise that was proposed previously. Additionally, the …

Home Health Billing / Home Health Today

Important Medicare Benefit Policy Manual Updates for Home Health Providers

CMS has released CR11104, which contains many important changes for home health providers. CR11104 updates the Medicare Benefit Policy Manual and Medicare Program Integrity Manual to reflect policy changes in …

Home Health Billing / Hospice Billing / Medical Billing & Collections

Flu Season is Here!

Are you helping your patients avoid the flu by getting immunized?  All health professionals should encourage their patients to get a flu shot, even after the new year.  It’s better …

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    Insights & News

    • 2026 Tax Planning: The New Numbers Worth Knowing Now
    • 2027 Home Health Proposed Rule
    • Should Your Hospice or Home Health Agency Join a Regional Collaborative?
    • Itemized Deductions: How the “One Big Beautiful Bill” Changes the Math
    • Stop Tax Fraud in Its Tracks: The IRS’ Top Recommendations for Identity Theft Prevention!

    Insights & News

    • 2026 Tax Planning: The New Numbers Worth Knowing Now
    • 2027 Home Health Proposed Rule
    • Should Your Hospice or Home Health Agency Join a Regional Collaborative?

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