PMB Blog

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 – October…

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…

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.

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…

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…

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…

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…