Archives: 2024, February
January 2024 IPR Reports Released
By Melinda A. Gaboury, CEO / Posted on: February 26, 2024The January 2024 IPR Reports have been published, updating the home health Value-Based Purchasing Model scores for agencies, using 2023 data. The reports, which were published in the first week of February, also provide updates to the July and October reports.
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Regina Wild Joins Healthcare Provider Solutions as Director of Managed Care Consulting
By Melinda A. Gaboury, CEO / Posted on: February 21, 2024Regina Wild, LPN, has joined Healthcare Provider Solutions (HPS) as their Director of Managed Care Consulting. In her role at HPS, Regina specializes in assisting clients with obtaining managed care contracts, conducting rate negotiations, credentialing with health plans, and renegotiating current contracts.
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Recent Edit is Blocking Home Health and Hospice Claims from Being Paid
By Melinda A. Gaboury, CEO / Posted on: February 19, 2024A recent edit is blocking home health and hospice claims from being paid at Palmetto GBA, and possibly at NGS and CGS as well. The edit, which begins with the number “5” and the letter “Z”, is not only stopping payment but is also changing the bill type to a 320 for home health.
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3 Ways to Avoid Hospice Election Statement Denials
By Melinda A. Gaboury, CEO / Posted on: February 12, 2024Numerous hospice agencies are dealing with denials due to a prevalent medical review issue, specifically related to the Hospice Election Statement.
The Election Statement was updated in October 2020, emphasizing the inclusion of three specific components.
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Clarifying Common Misconceptions of Patient Driven Groupings Model (PDGM) HIPPS Code Calculations
By Melinda A. Gaboury, CEO / Posted on: February 5, 2024Common misconceptions regarding the calculation of the Patient Driven Groupings Model (PDGM) HIPPS codes exist and need clarification.
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