CMS announced today that the payment rates and wage index system for 2018 has a new proposed rule for Medicare Home Health Agencies. CMS stated, “The new payment system aims to encourage innovation and collaboration and to incentivize home health providers to meet or exceed industry quality standards.” The proposed rule updates the Home Health Quality Reporting program 1% in 2018 due to projected Medicare payments to HHAs in CY, 2018 would be reduced by 0.4 percent, or $80 million, based on the proposed policies.
CMS is also proposing a complete redesign for 2019, including changing the unit of payment from 60-day episodes of care to 30-day periods of care. There will be six new clinical groups used to categorize 30-day periods of care based on the patients primary reason for Home Health Care. This, and other refinements for proposed methodology, would take place for CY 2019.
Documenting telephone calls at your dental practice is just as important as documenting patient visits. Similar to other documentation, the common rule when it comes to call documentation is that if it is not documented, it did not happen. Therefore, every clinically relevant telephone call should be documented.
Clinically relevant calls ...
On January 21, 2020, a CMS Newsroom press-release read,
This new announcement is both exciting and refreshing. Acupuncture, a key component of traditional Chinese medicine and most commonly used to treat pain, is now being officially recognized by Medicare and several other large payers as a covered, alternative treatment option for ...
Did You Know?
We now offer Historical CPT Content in 2-year, 5-year, or 10-year options! Utilize access to specific CPT historical data for previous years using rules effective at that specific time. If you’ve added UCR fees to your account, you can use Historical CPT Content to view UCR fees from ...
Exclusion screenings require far more than just checking a name on a federal database at the time you are hiring someone. Far too many providers don’t realize that in order to meet compliance requirements, there is MUCH more involved. There are actually over 40 exclusion screening databases/lists that need to be checked.
Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.