Low Volume Appeals (LVA) Initiative Settlement Option, Part 4 – The Extension

Fresh from CMS: a Low Volume Appeals Initiative (LVA) extension. TCMS has extended the period to use this opportunity to settle claims. What's New in LVA? 3/29/2018- The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative has been extended to June 8, 2018. Appellants that meet the eligibility criteria (and have... 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.

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