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CMS Announces the Start of RCD Selection Process

CMS Announces the Start of RCD Selection Process

The Centers for Medicare and Medicaid Services have finally announced the start of the choice selection period for Home Health in Illinois. Providers must select their preferred review method beginning April 17, 2019, until May 16, 2019. Visit the Palmetto GBA provider portal for more information and instructions on the selection process.

With the Right Tools Your Agency Can Manage ADR’s

With the Right Tools Your Agency Can Manage ADR’s

The Centers for Medicare and Medicaid Services (CMS) in partnership with Medicare Administrative Contractors (MAC) will review providers' claims in an effort to fight fraud. At times, they may need additional documentation and evidence for a beneficiary's treatment in the form of Additional Documentation Requests (ADR).

Review Claim Demonstration: Ready? Go! [Updated]

Review Claim Demonstration: Ready? Go! [Updated]

Earlier this year the Centers for Medicare and Medicaid Services (CMS) announced its intention to revive the Pre-Claim Review Demonstration (PCRD). CMS has proposed to begin in Illinois no earlier than December 10th, 2018; after the conclusion of the 30 day comment period. However, they are still working on receiving full approval from the Office of Management and Budget (OMB) under the Paperwork Reduction Act, and will not proceed without it.

Review Choice Demonstration Start Date still in Question

Review Choice Demonstration Start Date still in Question

Review Choice Demonstration (RCD) start date is still left unclear after a statement from the Centers for Medicare and Medicaid Services (CMS), yesterday. The agency indicated on the National Provider Call that the start date for RCD in Illinois may be pushed back later than December 10.

CMS stamps PDGM in Home Health Final Ruling

CMS stamps PDGM in Home Health Final Ruling

The Centers for Medicare & Medicaid Services (CMS) has announced the finality of the Patient-Driven Groupings Model (PDGM) planned to start in 2020. The agency put the stamp on several changes to home health reimbursements starting 2019, including modifying remote patient monitoring rules and refining value-based purchasing model (VBPM).

Home Health Compare Shows Improvement of Agencies Across the Country

Home Health Compare Shows Improvement of Agencies Across the Country

Kudos to all home health agencies (HHAs) across the country!

The Centers for Medicare & Medicaid Services (CMS) updated data on its Home Health Compare website earlier this month—and nearly all quality measures saw overall improvement.

Home Health Compare is an online tool designed to provide authoritative information and help give patients and family members an insight on provider quality of care.

3 Ways to Move Forward with PDGM Therapy Visits

3 Ways to Move Forward with PDGM Therapy Visits

Home health agencies are in a fix with the multitude of compliance regulations bound to change in the coming year. One of which is the Patient-Driven Groupings Model (PDGM) proposed by the Centers for Medicare & Medicaid Services (CMS).

CMS reveals Review Choice Demonstrations start date

CMS reveals Review Choice Demonstrations start date

Industry stakeholders are resting easy as the Centers for Medicare and Medicaid Services announces that the Review Choice Demonstration will be rescheduled to December 10, 2018. Initially scheduled for October 1, RCD was pushed back in favor of expanding the public commenting opportunity for the demonstration to October 29th. 

CMS first announced its intention to update the pre-claim review proposal last May. It is intended to reduce Medicare fraud and improper claims by giving providers different methods of reporting their claims to MAC's.

CMS Initiative to Provide Relief for Hospice Providers

CMS Initiative to Provide Relief for Hospice Providers

The Centers for Medicare and Medicaid Services (CMS) pursues Patient Over Paperwork initiative to provide relief for hospice providers by repealing unnecessary, obsolete or excessively burdensome Medicare compliance requirements.

Preparing for OASIS-D

Preparing for OASIS-D

Effective January 1, 2019, the Centers for Medicare and Medicaid Services (CMS) will utilize the latest home health assessment data collection tool - the Outcome and Assessment Information Set D (OASIS-D).

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