Introducing the New HEALTHCAREfirst Mobile Solution

Increase Productivity and Minimize Home Health Audit Risks. HEALTHCAREfirst has just announced the official launch of the most advanced mobile solution for tablets currently available to the home health industry. “This mobile solution has been developed with the day of the clinician, and the night of the Administrator, in mind. It’s fast and easy for […]

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October 1, 2015

Possible Home Health Grouper Issues Discovered

Certain Diagnosis Codes Affected. HEALTHCAREfirst would like to make home health agencies aware of an issue that was included in an article posted by the National Association of Homecare and Hospice (NAHC). NAHC reported back in an August 21st article that, “Clarification has been issued that would require home health agencies to indicate an ‘A’ […]

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September 25, 2015

Home Health Quality of Patient Care Star Rating

CMS Adds Two Star Ratings that Assists Consumers in Selecting a Home Health Provider. Consumers are often in an urgent state to find a home health provider and quickly look to the Home Health Compare (HHC) website for answers. While the intention is to provide an easy and reliable source of information as to the […]

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September 10, 2015

30 Days Left Until ICD-10

Is Your Home Health or Hospice Ready? October 1st is now only 30 days away and all providers should have either completed their ICD-10 implementation preparations or should be well under way. CMS recently conducted its final Medicare FFS ICD-10 End-to-End Testing Week in July and has reported that testing was successful. The testing week […]

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August 31, 2015

Free Hospice Regulatory Update Webinar Announced

FY2016 Hospice Final Payment Rule. Please join Deanna Loftus, Director of Regulatory Compliance for HEALTHCAREfirst as she reviews the FY2016 Hospice Final Payment Rule along with other hospice regulatory changes and how they will affect you. The Hospice Regulatory Update Webinar topics include: Payment rates Service Intensity Add-On HQRP updates Hospice Item Set (HIS) changes […]

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August 27, 2015

Hospice Experience with NOE/NOTR Requested

HEALTHCAREfirst Encourages Hospice Providers to Participate in NAHC/NHPCO Survey. Since the inception of the new timely filing rules for Hospice Notices of Election and Termination/Revocation (NOE/NOTR), hospice care providers have experienced issues that make filing NOEs and NOTRs cumbersome, or lead to delays in posting NOE or NOTR data to CMS systems, which results in […]

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August 24, 2015

Is Your Pharmacy Benefit Manager (PBM) Compliant with New Standards?

PBMs Should Collect and Submit Electronic Messages to Pharmacies. Providers that use a Pharmacy Benefit Manager (PBM) should be aware of requirements that went into effect on July 1, 2015. A hospice Data Element Request Form (DERF) was approved and required for pharmacy online claim adjudication effective July 1, 2015. The hospice DERF came out […]

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August 7, 2015

CMS Publishes the 2016 Hospice Payment Rate Update

HEALTHCAREfirst to Host Webinar Regarding Hospice Changes. On Friday July 31, 2015, CMS finalized the Fiscal Year 2016 Hospice Payment Rule. The final rule updates the payment rates for hospices for Fiscal Year (FY) 2016 and reflects the final year of the 7-year Budget Neutrality Adjustment Factor (BNAF) phase-out finalized in the FY 2010 Hospice […]

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August 3, 2015

Value Based Purchasing Proposed for Home Health

HEALTHCAREfirst to Host Webinar. CMS issued its annual proposal to adjust home health PPS rates in the Federal Register on July 10, 2015. In addition to revisions to the home health PPS case-mix weights and reductions to the national, standardized 60-day episode payment rate, CMS announced its plans to introduce a Home Health Value-Based Purchasing […]

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July 31, 2015

Is Your Recertification Process Compliant?

Home Health Agencies Should Review Immediately. On Friday, July 10, 2015, CMS issued “Change Request (CR) 9189: Medical Review of Home Health Services” with an implementation date of August 11, 2015. The change request was published in response to clarification and guidance requests regarding several items including the requirement that home health agencies have physicians include an […]

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July 28, 2015