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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.

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Home Health Agencies Face Financial Burden of Proposed CMS Payment Cut

Relias

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Cap on Negative Wage Index.

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Grow Your Own Home Health Aides To Capture New Business

Relias

Now they are hoping to reduce their risk of infection from COVID-19 and get more consistent care in their homes. Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals.

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Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states.

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Importance of Image and Respect for Home Health Recruitment and Retention

Relias

The increased pressure of the COVID-19 pandemic has presented never-before-seen growth opportunities for home health agencies and their workforce, as Bill Dombi, President of the National Association of Home Care and Hospice (NAHC), noted in a December 2021 webinar titled The State of Home Health.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

Comprehensive education for home health staff is vital to boost performance under HHVBP, observed Relias Director of Post-Acute Care Solutions Trish Richardson, MSN, BSBA, RN, NE-BC, CMSRN. Hospices should also be concerned about care coordination. Increased scrutiny in hospices.

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2023 Healthcare Trends: Are You Ready?

Relias

This estimate is based on a survey of physicians who primarily serve Medicare fee-for-service and Medicare Advantage patients and represents up to a fourfold increase in the cost of care delivered at home today. With the growth of health services at home, a 2021 report from the U.S. Penalties rise to $1M.