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Monday, December 27, 2021

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Home Health

CMS launches awareness campaign for VBID’s Hospice Benefit Component

CMS is raising awareness of the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. As noted in the MLN Connects for Dec. 23, 2021, when a Medicare Advantage (MA) enrollee elects hospice, Fee-for-Service Medicare becomes responsible for covering and paying for most services, while the MA plan remains responsible for certain services like …

Featured Webinar

Understand Case-Mix Changes for Accurate Reimbursement

As of January 1, the rules around how you get paid under PDGM have changed. Understanding these changes can help you target coding and OASIS training to ensure continued accuracy and rightful payments in the new year.

In this 60-minute webinar, coding and billing expert Brandi Whitemyer will give an in-depth review of these changes, including the 56 new subgroup interactions that could lead to a high comorbidity adjustment.

Home Health

Reminder: No RAPs for periods starting in 2022

The home health Medicare Administrative Contractors (MACs) are reminding providers that RAPs, formerly a request for anticipated payment, should not be submitted for periods of care that begin on or after Jan. 1, 2022. New admissions or patients continuing care in 2022 require a one-time Notice of Admission (NOA). From the MACs: “Until the January …