Effective June 3, 2024, a critical update will be implemented for hospice agencies regarding the enrollment status of certifying physicians. According to the Centers for Medicare & Medicaid Services (CMS), physicians must be enrolled in or opted-out of Medicare through the Provider Enrollment, Chain, and Ownership System (PECOS). Implementation Stages: Stage 1 (June 3, 2024 […]
Home health agencies are reminded of the policy concerning Electronic Visit Verification (EVV) Home Phone Landline Requirements. Compliance with these requirements is mandatory to ensure proper tracking and billing of home health services. Landline Requirements: The landline must be the member’s home phone number or a frequently used location like a family member’s or neighbor’s […]
The Final April 2024 Interim Performance Reports (IPRs) for home health agencies (HHAs) are now accessible through the Internet Quality Improvement and Evaluation System (iQIES). These reports, located in the “HHA Provider Preview Reports” folder, are available to authorized iQIES users and reflect the latest data and revisions. Key Points: IPRs are specific to each […]
Managing your in-house medical billing may be costing more than you realize, compromising your agency’s efficiency. Outsourcing to a provider like Precision Medical Billing can be a practical, effective, and cost-saving solution. Here are seven compelling reasons to consider: Outsourcing your hospice billing to Precision Medical Billing can streamline your operations, reduce costs, and enhance […]
The world of medical billing and coding is undergoing significant changes in 2024, impacting healthcare providers, coders, and patients alike. These updates, primarily focusing on the Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code sets, are crucial for ensuring accurate documentation, billing, and overall healthcare management. Key […]
The landscape of Medicare, particularly concerning Medicare Advantage (MA) and Part D programs, has undergone significant changes with the finalization of new rules by the Centers for Medicare & Medicaid Services (CMS) for 2024. These changes aim to streamline processes, enhance access to care, and safeguard beneficiaries against misleading marketing practices, ultimately reflecting a significant […]
Cigna’s modifier 25 policy has sparked widespread concern among the American Medical Association (AMA) and over 100 other healthcare organizations. This policy, requiring the submission of office notes alongside certain claims, is seen as an unnecessary and burdensome process that could lead to delays in patient care. The AMA and other groups have vehemently requested […]
Discover the future of home health care compliance and efficiency through the latest advancements in Electronic Visit Verification (EVV). As the 21st Century Cures Act’s deadline approaches, read how state-of-the-art EVV solutions are here to ensure your agency meets the requirements seamlessly. Dive into the details of EVV readiness for your state and embrace the transition with confidence.
Reminder: As of July 2023, Home Health Agencies must adopt new G-codes for telehealth services. This crucial update mandates detailed reporting for synchronous telemedicine, audio-only consultations, and remote patient monitoring. Ensure your agency is prepared for these changes to maintain compliance and optimize billing processes.
Starting January 1, 2024, Home Health Agencies (HHAs) must follow new billing procedures for disposable Negative Pressure Wound Therapy (NPWT) devices. These will now be billed and paid separately under the period of care claims, Type of Bill 032x. It’s crucial for billing staff to note the application of deductibles and coinsurance, as well as the necessary coding changes. Stay updated to ensure compliance and efficient billing processes.