News

The healthcare technology landscape is constantly evolving, and a crucial question emerges: are established EHR systems, like EPIC, at risk…

Palmetto GBA has also released the latest data for Q4 2024 on the most common hospice claim denial codes. These…

Palmetto GBA has published its quarterly summary of the top denial reason codes for home health agencies (HHAs) for Q4…

As 2025 unfolds, significant updates to HIPAA regulations are on the horizon, with sweeping changes aimed at increasing patient access…

A new regulation has been released regarding Medicare Advantage plans. If you are providing home health services to a patient enrolled…

Healthcare providers have been facing significant challenges with PCR (Pre-Claim Review) requests in recent months, following a new directive from…

The Centers for Medicare & Medicaid Services (CMS) has announced that the Hospice Benefit Component of the Value-Based Insurance Design…

CMS has announced the updated Medicare Part B premiums and deductibles for 2025. These changes, which reflect adjustments for rising…

CMS has released the Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Final Rule, outlining key updates to payment…

Novitasphere, a vital online portal for Medicare providers, is undergoing a significant redesign to improve user experience in 2025 and…

The upcoming public reporting of the OASIS Section GG items, particularly GG 0130 and GG 0170, will impact home health agencies’ quality scores starting January 1, 2025. Ensure your team understands the reporting requirements for the Discharge Function Score, Home Health Quality Reporting Program (HH QRP), and Home Health Value-Based Purchasing (HHVBP) program.

A recent analysis shows a steady increase in prior authorization denials for Medicare Advantage (MA) beneficiaries, creating challenges for home health agencies. With denial rates on the rise, agencies must stay informed about MA payer guidelines to prevent delays in care.

Several hospice agencies have reported erroneous claim denials under Medicare error code 17729. This issue is affecting claims related to…

Home health agencies are reminded of the policy concerning Electronic Visit Verification (EVV) Home Phone Landline Requirements. Compliance with these…

Effective June 3, 2024, a critical update will be implemented for hospice agencies regarding the enrollment status of certifying physicians.…

The Final April 2024 Interim Performance Reports (IPRs) for home health agencies (HHAs) are now accessible through the Internet Quality…

The world of medical billing and coding is undergoing significant changes in 2024, impacting healthcare providers, coders, and patients alike.…

The landscape of Medicare, particularly concerning Medicare Advantage (MA) and Part D programs, has undergone significant changes with the finalization…

Cigna’s modifier 25 policy has sparked widespread concern among the American Medical Association (AMA) and over 100 other healthcare organizations.…

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.

In an era where telehealth is becoming increasingly prevalent, a recent article from Physician’s Weekly titled “Rates of Loop Closure…

The concept of ‘Hospital at Home’ is revolutionizing the healthcare industry. This model, as discussed in a compelling article from…