Tag Archives: home health billing

Increased Claim Scrutiny!

Palmetto GBA is performing a variety of medical review activities in addition to the reviews discussed in the next article. As part of our normal medical review process, we perform ongoing data analysis and identify services and providers for medical … Read Full Post

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Home Health Prospective Payment System Rate (HH PPS) Update For Calendar Year (CY) 2012

Policy Updates for CY2012 1) Market Basket Update: The home health market basket percentage increase for CY 2012 is 2.4 percent. After reducing it by 1 percentage point as required by the Affordable Care Act, the CY 2012 HH PPS … Read Full Post

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Home health PPS 2012 Final Rule is out!

CMS has issued the final rule to update the Home Health Prospective Payment System (HHPPS) for 2012, which includes an estimated decrease of 2.31% (or $431 million). The net effect for providers is a 1.4% payment update, the wage index … Read Full Post

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Are You Ready for 5010?

Home Health Agencies should ask their homecare software vendor if they are ready for the new required software changes for claims submission. All covered entities must submit Medicare electronic claims using X12 version 5010 effective January 1, 2012. If your … Read Full Post

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Common Medicare Home Health Billing Errors and How to Avoid Them

Today’s home health care billing is more critical than ever. Shrinking reimbursement and increased regulations are forcing agencies to optimize their billing process. With many layers of complexity in the billing process, agencies have found that even a small number … Read Full Post

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