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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...
This year's challenging business and healthcare environment has brought about a number of questions and unforeseen circumstances that have impacted Home Health Care agencies nationwide. With COVID-19, PDGM, EVV, and a series of other developments making waves, the home health software your agency is using makes a huge difference in your agency's ability to adapt and thrive in the homecare market...
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.
We’re well into 2019, and it seems PDGM (Patient-Driven Groupings Model) is among the most discussed healthcare topics at the moment. From industry trade publications to speakers at national conferences, everyone is talking about how PDGM will affect home health agencies in 2020. The information can be insightful, but it can also be overwhelming. Here is a key-point summary that will help your home health agency prepare for 2020, both financially and operationally.
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).