The new Home Health Conditions of Participation (CoPs) are here! In order to be successful, home health agencies should be prepared. You should identify elements of the revised Home Health CoPs that will require action by your home health agency. You may need to address job descriptions, qualifications, and duties, as well as create or amend policies,Continue Reading
Your EHR is the central nervous system of your agency. Cumbersome processes, lack of real-time information, and a countless amount of paperwork puts your agency at risk for non-compliance and can impact your cash flow as well as the quality of care you provide. Selecting the right home healthcare software features for your business will enable long-term success by ensuring compliance,Continue Reading
In today’s environment, hospice agencies need to collect everything they are owed and they need to do it quickly. By understanding potential red flags and avoiding common mistakes that lead to claim denials, you can easily improve revenue and cash flow. Discover the top reasons for hospice claim denials and how you can avoid them!
Beginning on November 15, 2017, hospice agencies must be prepared to demonstrate compliance with the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule. CMS is releasing a new Appendix Z of the State Operations Manual (SOM) that contains the interpretive guidelines and survey procedures for the final rule.Continue Reading
Beginning on November 15, 2017, home health agencies must be prepared to demonstrate compliance with the home health emergency preparedness condition of participation (CoP). When evaluating for compliance with the CoP requirements, surveyors will follow the standard survey protocols during initial, revalidation, recertification, and complaint surveys. CMS’ goal in enforcement of these requirements is to ensure that Medicare certified organizations “better anticipate and plan for needs,Continue Reading
Home health claim denials can cause a number of problems for agencies of any size, with cash flow being the biggest concern. Home health agencies should have plans in place to avoid denials, as well as plans on how to handle them when they occur. By having advance knowledge of the potential red flags that may come up at your agency,Continue Reading
Home Health Fraud Prevention: HEALTHCAREfirst White Paper Released
We are pleased to announce the release of a new white paper that takes a look at the current home health regulatory environment and the efforts to crack down on home health fraud by the federal government.
The Home Health Fraud Prevention white paper,
In recent years, the Medicare home health program has grown quickly, both in cost and the number of patients served. In 2009, 3.3 million Medicare beneficiaries received Medicare home health services, resulting in $18.9 billion in Medicare payments. While the Medicare home health program continues to expand, there is mounting concern that the existing payment system does not offer the necessary incentives to provide high-quality,
Corresponding to an aging population and an increase in the incidence of chronic health conditions, more than 3.4 million people currently receive Medicare skilled home health care services. With home health care service utilization on the rise, Medicare home health care spending has nearly doubled from 9.7 billion in 2001 to 18.3 billion in 2012.1 Additionally,
Update: On March 31, 2017, CMS stated that the Pre-Claim Review Demonstration will not expand to Florida on April 1, 2017 as planned. CMS will notify providers at least 30 days in advance via an update on their website of further developments related to the demonstration. HEALTHCAREfirst will continue to monitor the status,Continue Reading