Top Denial Reasons – Hospice Targeted Probe and Educate

By Leslie Heagy / Posted on: September 11, 2018 5 minutes to read

Targeted Probe and Educate (TPE) is underway for Hospice Agencies. HPS is seeing many ADR denials with agencies moving to round 2 and 3 of TPE from both CGS and NGS.

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2019 Value Based Purchasing Proposed Changes

By Melinda Gaboury / Posted on: August 27, 2018 5 minutes to read

CMS released the CY2019 Medicare Home Health payment rule July 12, 2018. A large part of the proposed changes are to the Value-Based Purchasing (VBP) Model. One of the agency’s proposed refinements of VBP is removing five measures while adding two new proposed composite measures.

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2019 Home Health Proposed Payment Rule – PDGM 2020

By Melinda Gaboury / Posted on: August 8, 2018 9 minutes to read

The Centers for Medicare and Medicaid Service (CMS) released the CY2019 Medicare Home Health payment rule July 12, 2018. This proposed rule is voluminous and carries an immense number of proposed changes. HPS will continue analyzing and updating the proposed elements of this rule.

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Hospice HEART Update

By Katie Wehri / Posted on: July 30, 2018 4 minutes to read

The retooling of the Hospice Evaluation and Assessment Reporting Tool (HEART) is a significant development. CMS has been moving rather expeditiously on the HEART tool, and it is believed the tool is one of the key components necessary for future changes in hospice including payment refinement.

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