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Care Plan Oversight (CPO) is often overlooked as a revenue source for physicians. CPO is the physician supervision of patients under either the home health or hospice benefit where the patient requires complex or multi-disciplinary care requiring ongoing physician involvement.
Will your Medicare Claims continue to pay after January 1, 2020? Are you ready for the BIG Change? No, we are not talking about PDGM, but that is coming, too.
In 2018, Medicare began the process of issuing a Medicare Beneficiary Identifier to all eligible participants. Home Health and Hospice Providers should be using this identifier in place of the HICN or Social Security Number for billing purposes at this time. All Claims submitted on or after January 1, 2020 should have the MBI, even for dates of service prior to the effective date.
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In the latest news for RCD, the choice selection period for Home Health Agencies (HHAs) located in Texas officially began on Jan 15th 2020, and will end on Feb 13th, 2020. HHAs can visit Palmetto GBA’s provider portal here for additional information and details on selection process. The portal guides HHAs through viewing their available choices and making selections. Any HHAs that do not make a choice selection by the February 13, 2020 deadline will be automatically placed in Choice 2: Post payment Review. After the conclusion of the choice selection period, the demonstration will begin in Texas on March 2, 2020, and all episodes of care starting on or after that date will be subject to requirements of the choice selected.
(MA) plans (Medicare Advantage plans) are poised to release a new set of benefits for home care in 2020. Home care premiums are anticipated to experience a significant drop by more than 22%, this the announcement from the current federal government.
Alora PDGM Webinar for ultimate payment results in 2020. This informative webinar which was held on Thursday, Oct 17th, 2019, presents an overview of PDGM and how it will impact agencies. Watch the entire webinar and review tips and pointers in this edition of the ALORA blog...
As 2020 approaches and we draw closer to full implementation of the 21st Century cures act, Alora continues to monitor on a state by state basis how the EVV adoption process is unfolding. While many states are already up and running with their electronic visit verification system, others have petitioned for postponements or long-term delays. Here are the latest EVV updates in several states:
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In the latest homecare news, the Centers for Medicare & Medicaid Services (CMS) will delay the implementation of Review Choice Demonstration (RCD) so agencies have adequate time to adapt to the upcoming Patient-Driven Groupings Model (PDGM) prior to implementation of RCD. In one state however, CMS is not delaying implementation.
Advocates for home health care have achieved a significant triumph regarding the ongoing struggle against implementation of RCD (Review Choice Demonstration).
After a series of sessions reviewing the matter, the Centers for Medicare & Medicaid Services (CMS) released an official statement this past Monday that the RCD will be delayed until March 2, 2020. Originally, implementation of the demonstration was slated to start in Texas on December second of 2019. This would have resulted in home health care providers in the Lone Star state being forced to simultaneously navigate RCD while also dealing with the equally intimidating PDGM (Patient-Driven Groupings Model).
Your Next Caregiver Could be Programmable…as Amazon Rumored to be Developing In-Home Robot Robots for In-home Care The national shortage of caregivers has been growing as demand continues to soar higher than supply. The industry may soon get a boost as the homecare sector could be next...
OASIS-D is the current version of the OASIS data set. It was implemented on January 1, 2019. OASIS-D introduces new standardized items to support measurement domains mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. New items were also added for standardization to align with assessment sets for other post-acute care settings. Several items were also removed to reduce provider and patient burden. OASIS-D was approved by the Office of Management and Budget (OMB) on December 6, 2018, with an intended expiration date of 12/31/2021.