• News from NAHC: Protect Your HHA Against A Wave Of Denials  - Read More
  • Your Home Health Action Plan for OIG’s 2010 Work Plan  - Read More
  • One Denied Therapy Visit Can Cost Your HHA $600  - Read More
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Medicare Compliance & Reibursement

Eli's Home Care Week
News & Analysis On Reimbursement, Regulations, Finance, Operations, & Compliance — weekly newsletter.
Prospective Payment System: Outlier Cap Will Hurt Diabetic Patients, Cost Medicare Money,Providers Protest
Posted on December 11 2009
Watch out: 10% cap could affect your claims as early as next month. Home health agencies are hopping mad about a payment change set to take effect next month, but the feds are standing strong on the 10 percent outlier cap. Multiple…
 
Reimbursement: Minimize Your Outlier Risk With These 7 Steps
Posted on December 11 2009
Discharging patients may open you up to abandonment charges. Tough times are ahead for home health agencies affected by the 10 percent outlier cap. Here are steps you can take to mitigate the policy’s impact on your agency: 1. Assess your vulnerability.…
 
OASIS: OASIS C Is Ready To Roll — Are You?
Posted on December 11 2009
Look for changes to OASIS login, HH ABN in new year, CMS says in Open Door Forum. In a few short weeks, your OASIS C rubber will be hitting the road. Home health agencies secretly wishing for a Christmas miracle of…
 
Education: Tap These Free Resources For OASIS C Prep
Posted on December 11 2009
Plus, sign up for Eli teleconferences for in-depth OASIS C info. Transitioning to OASIS C is going to be costly, so take advantage of these free CMS teleconferences and trade group video resources. The Centers for Medicare & Medicaid Services has provided three…
 
Hospice: Use This Guidance To Report Time On Hospice Claims
Posted on December 11 2009
Feds also mull hospice coverage of ambulance transport, they say in forum. Don’t miss the newest instructions from the feds on how to accurately comply with hospice claims reporting requirements. In a new set of questions and answers, the Centers for Medicare…
 
Industry Notes: OIG Shines Fraud Spotlight On DME
Posted on December 11 2009
HHAs, hospices also get regulators’ attention. In an environment of increased scrutiny for  Medicare fraud and abuse, home care providers are taking center stage. The HHS Office of Inspector General investigated durable medical equipment suppliers more than any other provider type in…
 
Patient Satisfaction: Get Started On CAHPS Or Risk Your Reimbursement
Posted on December 4 2009
The 2 percent reduction may be only the start of your worries. Most home health agencies are consumed with OASIS C beginning next month, but that shouldn’t cause the new Home Health Consumer Assessment of Healthcare Providers and Systems (CAHPS) requirement…
 
Compliance: Is Opting Out Of CAHPS Right For Your HHA?
Posted on December 4 2009
You may decline to use the patient satisfaction survey for now, but know your risks first. With so much on your home health agency’s  late, deciding to skip the new patient survey requirement may seem like a good idea. But be…
 
Therapy: Combat Therapy Blues With Mentoring Program
Posted on December 4 2009
Tap your A+ players to lead new hires. Tired of a high therapist turnover or frustrated, unproductive new hires? A mentoring program for new recruits may have crossed your mind. But is it just feel-good fluff that takes up more time? The…
 
Reimbursement: Use These 5 Tips For M&E Success
Posted on December 4 2009
Make sure docs see why it’s worthwhile to fulfill the new requirement. Medicare’s crackdown on management and evaluation services for home care patients isn’t a very nice holiday present, but you don’t have to let it torpedo claims for your patients…