What about UPICs? RCD starts in IL on 6/1. QIRT has some questions on how this may affect other medical review activity that is occurring in an RCD state.
CMS announced yesterday that the Review Choice Demonstration (RCD) project will begin in Illinois on June 1, 2019. Prepare now with QIRT's support choices: Readiness Audits, Complete Guides, and a Team of Experts.
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.
Home care agencies who have received additional development requests are experiencing an ever-increasing ALJ backlog. An additional development request (ADR) is generated to request documentation from a provider to assist with adjudicating a Medicare claim. Since 2010, the number of claims awaiting an Administrative Law Judge (ALJ) hearing has steadily climbed, along with the wait time for... Continue Reading →
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 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 →
... 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 →
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 →