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Category: Medical Billing & Collections

Home Health Billing / Home Health Today / Medical Billing & Collections / Newsletter

Being Prepared for PDGM: Part Two – Billing and Reimbursement

As discussed in our previous post; the Patient Driven Groupings Model (PDGM) is going to introduce home health agencies to new scrutiny and completely change the way your agency operates. …

Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

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 …

Accounting / Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

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 …

Accounting / Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

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 …

Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

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 …

Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

CMS Reminder on Election Statements

CMS is reminding hospice providers that it will continue to look at General Inpatient (GIP) and the NOE for hospice care.  The OIG has been reviewing data on GIP and …

Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter / Uncategorized

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 …

Home Health Billing / Home Health Today / Hospice Billing / Hospice Today / Medical Billing & Collections / Newsletter

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 …

Home Health Billing / Hospice Billing / Medical Billing & Collections

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 Billing / Hospice Today / Medical Billing & Collections

Legislative Update: Palliative Care & Hospice Education Act (PCHETA)

West Virginia Republican Senator Shelley Moore Capito and Wisconsin Democrat Senator Tammy Baldwin introduced legislation that will allow more patient centered models of care for the treatment of terminally ill …

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