RCD: More on the CMS FAQs Update

Last week, CMS updated its Frequently Asked Questions (FAQ) on the pending Review Choice Demonstration (RCD) project. Some of these merit additional scrutiny and comment since the selection window (via Palmetto GBA’s eServices portal) has started for Illinois home care agencies. Taken from the “Review Choice Demonstration (RCD) for Home Health Services Frequently Asked Questions (FAQs)”, updated 4/18/19.... Continue Reading →

It’s Alive! The Return of Pre-Claim Review… in the Form of Review Choice Demonstration

After a pause of more than a year, CMS will soon resume the pre-claim review (PCR) demonstration project in five selected states. The pre-claim review is now called Review Choice Demonstration (RCD) for Home Health Services and there are some changes. First of all, tweaks in the new process "offer more flexibility and choice for providers,... Continue Reading →

Healthy Revenue Cycle: QIRT Financial Fit List 2018

Healthy revenue cycle is crucial to a post-acute agency's overall fitness.  This is even truer now, with the new payment model on the horizon. QIRT's financial experts have created a "fitness routine" to help strengthen your agency. Make use of QIRT's Financially Fit List for toning processes and preparing benchmarks.  What does your agency's revenue... Continue Reading →

Breaking News: Newly Filed Bill Revises HHGM

A bill designed to keep the federal government funded through March 23 has several provisions involving home health, including revisions to the face-to-face requirement and the addition of a new payment model similar to the Home Health Groupings Model (HHGM).

Low Volume Appeals (LVA) Initiative Settlement Option – Part 2

The Low Volume Appeals Settlement Process, also known as LVA, is a new option for agencies who are waiting for ALJ hearings or MAC/DAB reviews. Take advantage of this opportunity to settle fully-denied claims.  

QIRT’s Joe Osentoski Discusses Targeted Probe and Educate

Home Health Care News consulted Reimbursement Recovery and Appeals Director, Joe Osentoski for his knowledge of CMS' Targeted Probe and Educate audits. In an article dated December 11, 2017, Carlo Calma detailed some of the regulation changes brought about by CMS and spoke to experts about the impacts they are seeing in the industry.


The following is from the NAHC website: CMS Announces a Special Open Door Forum: Suggested Electronic Clinical Template for Home Health Tuesday, April 22; 3-4pm ET Conference Call Only CMS will host a series of Special Open Door Forum (ODF) calls to allow physicians and other interested parties to give feedback on data elements for the... Continue Reading →

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