Category Archives: Home Health

Job Descriptions & Performance Appraisals – Who Needs ‘Em?! (Part 1)

Our experience has shown that sometimes smaller organizations don’t follow established conventions in the human resources arena. One such item is the job description, and its cousin, the performance evaluation.  In this four-part series, we will explore the need for … Read Full Post

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Latest ADR Update as of 02/22/2012 – Jurisdiction 11- Home Health and Hospice

Palmetto GBA conducts probe reviews on services provided by Medicare providers within Jurisdiction 11. These reviews are in an effort to prevent inappropriate payments. Data analysis is performed at regular intervals to determine the types of services or providers that … Read Full Post

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The Employer’s Role in Determining Employee Competence

When was the last time you questioned whether the individual who provided you or a loved one with a health care service was qualified or competent?  I don’t know about you, but the last time I had blood drawn, I … Read Full Post

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Overtime Pay Exemption for Companionship Services Comment Period Ends March 12

Comment Period extended until March 21, 2012. In 1975, the U. S. Department of Labor (DOL) exempted companions and live-in workers from the requirement for overtime pay.  On December 27, 2011, the DOL published a ‘Notice of Proposed Rulemaking’ to … Read Full Post

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Resolution of the 5010 Electronic Claims Submission 496 Edit

Jurisdiction 11 Home Health and Hospice With the implementation of Accredited Standards Committee (ASC) X12 Version 5010, the Medicare Administrative Contractors (MACs) have received a large increase in calls from billers regarding the 496 edit, more commonly referred to as … Read Full Post

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HR Audits

HR Audits can be an excellent tool to protect your organization, establish best practices and identify areas that need improvement. The evaluation process includes using numerical data (e.g. How long it takes to fill an open position and employee satisfaction … Read Full Post

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What We’re Reading – Top 10 Changes in Patient Expectations (Part II)

Here is a continuation of a good article on patient expectations; below are the top five changes, according to the author.  To view the first half of the article with the bottom five changes, click here. Expectation #5 — Better … Read Full Post

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Avoid the Payroll Issues That Can Jeopardize Your Business

Among the top laws enforced by the Wage and Hour Division of the US Department of Labor (DOL) is the Fair Labor Standards Act (FLSA).  This Act governs minimum wage, overtime pay, and recordkeeping, among others, and can result in … Read Full Post

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Do Your Processes Need a Check-up?

All companies that have been existence for some time develop policies and processes that are either documented or passed down in sometimes incidental fashion.  If the steps are not written down and there’s a question, a long-tenured individual intervenes to … Read Full Post

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How to Navigate the Medical Review Projects

Jurisdiction 11 Home Health and Hospice FAQs: Additional Medical Review Projects and CERT To help reduce the Comprehensive Error Rate Testing (CERT) program error rates, Palmetto GBA was recently funded by CMS to undertake additional medical review projects that involve … Read Full Post

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