Author: The PMB Pulse

Updated Billing Guidelines for Disposable Negative Pressure Wound Therapy Devices in Home Health Care: Effective January 2024

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.

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Telehealth’s Challenge: Ensuring Completion of Medical Tests and Referrals

In an era where telehealth is becoming increasingly prevalent, a recent article from Physician’s Weekly titled “Rates of Loop Closure Are Below Satisfactory for Telehealth” sheds light on a critical challenge facing this mode of healthcare delivery. The study highlights a notable discrepancy in the completion rates of medical tests and referrals ordered during telehealth […]

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Innovative Healthcare: Embracing Hospitals in the Home

The concept of ‘Hospital at Home’ is revolutionizing the healthcare industry. This model, as discussed in a compelling article from Healthcare Transformers, brings hospital-grade care to the patient’s doorstep. It’s not just about convenience; it’s a paradigm shift in healthcare delivery. Key Highlights: This innovative approach signifies a major advancement towards more accessible, efficient, and […]

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Electronic Visit Verification (EVV)

EVV Vendor Transition Overview Effective October 1, 2023, Texas Health and Human Services Commission (HHSC) is transitioning from two Electronic Visit Verification (EVV) vendor systems, DataLogic/Vesta and First Data/AuthentiCare, to a new single state-funded EVV vendor system provided by HHAeXchange. An overview related to this transition is listed below. HHSC will continue providing details and […]

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Precision Insights: Deep Dive into the 2024 Home Health and Hospice Proposed Rule

Precision Medical Billing understands that knowledge is power in the ever-evolving healthcare landscape. At the recent Fall Conference organized by the Texas Association for Home Care & Hospice, we gained in-depth insights into the 2024 Proposed Rule for Home Health and Hospice that we are eager to share with our partners. Comprehensive Financial Shifts In […]

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Senators Call On President Biden To Help Protect Home Health Benefit

A group of senators sent a letter to President Joe Biden last week urging him and his administration to look after the Medicare home health benefit. Sens. Debbie Stabenow (D-Mich.), Kyrsten Sinema (D-Ariz.), Kirsten Gillibrand (D-N.Y.), Tammy Duckworth (D-Ill.), Mazie K. Hirono (D-Hawaii), Jeanne Shaheen (D-N.H.), Tina Smith (D-Minn.) and Maggie Hassan (D-N.H.) all signed […]

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Overcoming Challenges in Home Health and Hospice Revenue Cycle Management

In the complex landscape of healthcare, companies specializing in home health and hospice services often encounter unique challenges when it comes to managing their revenue cycle effectively. These challenges can impede their ability to deliver quality patient care and maintain financial stability. Fortunately, outsourcing to a professional medical billing company can provide effective solutions to […]

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Navigating the Maze of Revenue Cycle Management: Key Concerns and Strategies for Physicians’ Offices

In the ever-evolving landscape of healthcare, physicians’ offices face a multitude of challengesin managing their revenue cycle effectively. The intricate dance of billing and coding, compliancewith ever-changing regulations, efficient claims processing, and the often-frustrating realm ofclaim denials and appeals can leave even the most seasoned medical professionals feelingoverwhelmed. In this article, we will delve into […]

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Recruiting & Retention

Insights from the Experts: Attracting and Retaining Healthcare Talent PMB conducted a webinar on March 27, 2023. We discussed the challenges in today’s healthcare industry, one of the most significant challenges is finding and retaining qualified medical professionals. The demand for medical professionals in the United States continues to grow, and there is a substantial […]

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Medicaid Roll Purges United States

As of May 2023, several states have initiated Medicaid roll purges as part of their ongoing efforts to maintain program integrity and eligibility compliance. The following states are notable examples: Alabama, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, and Massachusetts. Each state has its own set of […]

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