Backlog to the Future? Part 3

Home care agencies who have received additional development requests (ADRs) are experiencing an ever-increasing ALJ backlog. The following is the final part of a 3-part series on the current state of ADRs and the ALJ backlog.

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 →

CASPER Reports – Not as Friendly as the Ghost

... and CASPER Reports Could Be Coming Your Way. On July 9, 2018, CMS began loading into the hospice folders letters of non-compliance for agencies who failed to meet the Hospice Quality Reporting Program (HQRP) requirements. As I am sure you know, non-compliance affects your FY19 Annual Payment Update (APU). If you haven't already checked... Continue Reading →

Pros and Cons of Outsource Coding and OASIS Review

By Corinne Kuypers-Denlinger, Vice President, Post-Acute Care Growth Strategies, QIRT. Originally published in the e-newletter of the Illinois HomeCare & Hospice Council This is the first in a three-part series of articles about outsource coding and OASIS review. The purpose of this series is to help home health and hospice agencies determine if outsourcing this critical business... Continue Reading →

Effective QAPI – 3 Important Concepts to Keep in Mind

Implemented correctly, effective QAPI can be useful to improve your agency outcomes and finances. QIRT experts have outlined three major effective QAPI concepts that we recommend you remember above all.

CMS finalizes wage index and payment rates for the Medicare hospice benefit

Late last week, the Centers for Medicare and Medicaid Services (CMS) issued the final rule updating the fiscal year (FY) 2014 Medicare payment rates and wage index for hospices serving Medicare beneficiaries. According to CMS, the hospices will see an estimated 1% ($160 million) increase in their payments for FY2014. The new hospice payment rates... Continue Reading →

Hospice Claims and Use of Debility, Adult Failure to Thrive, and Dementia Diagnoses

The Centers for Medicare and Medicaid Services (CMS) has released the FY2014 Hospice Wage Index Proposal which includes some details of the portion of the proposed rule related to multiple diagnoses on hospice claims and specifically the use of debility, adult failure to thrive and dementia as the principle diagnosis. CMS specified that hospices should... Continue Reading →

Sequestration impacts Home Health and Hospice reimbursement

On March 8, 2013, CMS announced that all Medicare FFS claims with dates of service or dates of discharge on or after April 1, 2013, will incur a 2 percent reduction in Medicare payment due the sequestration order issued by President Obama on March 1, 2013 as required by law. William Dombi, Vice President for... Continue Reading →

Are you ready for Home Care in 2013?

Now that we have finished celebrating the New Year, it is crucial that home health agencies are prepared for all the changes that have come with 2013. 1. The OASIS-C guidance manual was updated in December to include changes and clarifications.  The manual can be accessed at OASIS-C guidance manual. 2. The Home Health PPS... Continue Reading →

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