Healthcare Provider Solutions

Category: Monday Minute with Melinda

Local Coverage Determinations (LCD) (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: October 18, 2021

This Monday Minute reminds home health and hospice about the significance that the LCD can have in the medical review of Medicare charts. We want to remind you about a very important document that the Medicare MACs have developed to help assist agencies in understanding the expectation of your medical record documentation.

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The Impact of Hurricane Ida

By Melinda A. Gaboury, CEO / Posted on: October 11, 2021

This Monday Minute will touch on the impact that Hurricane Ida has had on home health and hospice and exceptions granted by CMS to this area.

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Medicare Claims Processing Issues Logs (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: October 4, 2021

This Monday Minute emphasizes the importance of reconciling payments to your AR and the significance of the Medicare MAC claims processing issues logs.

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Hospice and Home Health PEPPER Reports (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: September 27, 2021

This Monday Minute discusses the impact that PEPPER Reports can have on a Home Care or Hospice agency. We also share the information needed to access your agency’s PEPPER Reports and when these reports are released annually.

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Medicare Eligibility Verifications (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: September 20, 2021

This Monday Minute will touch on the significance of Medicare Eligibility Verifications and a key update to the content of Workers’ Comp and Liability Policies in the Common Working File. We will point out something that we have discovered, that could be a significant help in situations where you do that Eligibility Verification, so watch to learn more about Medicare Eligibility Verifications to have a successful enrollment.

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Phase 4 Provider Relief Funds and 60-day Grace Period (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: September 13, 2021

This Monday Minute reviews the content of the HHS announcement regarding the, now available, $25.5 billion in additional provider relief funds. 8 billion of this money is to be given to small providers primarily in rural areas and bonuses will be given to providers that serve primarily Medicaid, CHIP and/or Medicare patients.

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Implementation of the Notice of Admission (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: September 7, 2021

This Monday Minute will take you through the key elements of the coming Notice of Admission and provide references. We want to share with you a document that was published by Palmetto GBA, CGS and NGS, all three of the Home Health Medicare MAC’s this past week. This document goes through the details of what is going to be included in the Notice of Admission, beginning January 1st of 2022.

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Case-Mix Weight Changes in the HH Proposed Rule 2022 (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: August 27, 2021

This Monday Minute provides thoughts about the potential impact of the proposed case-mix weight changes on overall reimbursement in 2022.

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Value Based Purchasing Nationwide Rollout 2022 (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: August 20, 2021

This Minute briefly reviews some of the highlights of Value Based Purchasing and what has been proposed. Value-Based purchasing has been proposed in the form of a nationwide rollout for home health beginning in January 2022.

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Targeted Probe & Educate: Here We Go Again! (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: August 13, 2021

This Minute will take you through a quick recap of the Targeted Probe & Educate framework as the program is being reinstated!

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Proposed CoP Changes that Need Your Feedback (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: August 9, 2021

This Minute reviews the four items that are being proposed for change in the Home Health Conditions of Participation, specific to home health aide supervision. Make sure to stay tuned for more updates!

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2022 Hospice Final Rule Released (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: August 2, 2021

This minute covers a quick recap of The Hospice Final Rule released on July 29, 2021 that updates Medicare hospice payments and the aggregate cap amount for FY 2022 in accordance with existing statutory and regulatory requirements. Make sure to stay tuned for more updates!

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Review Choice Demonstration Update (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: July 26, 2021

This minute covers the update for Florida and North Carolina Home Health Review Choice Demonstration (RCD). Palmetto GBA provides HHAs with a wealth of information addressing the requirements and expectations of the RCD. Make sure to stay tuned!

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Hospice Survey Changes in the Home Health Proposed Rule (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: July 19, 2021

This minute is to make you aware that there are tons of pages in the 2022 Proposed Home Health Rule that are specific to Hospice. HPS will also have upcoming material that will discuss these updates. Make sure to stay tuned!

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More Details on the 2022 Home Health Proposed Rule (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: July 12, 2021

This minute covers more details on the 2022 Home Health Proposed Rule. Register for our June15th webinar for more in depth information. Make sure to stay tuned!

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The Home Health Proposed Rule 2022 (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: July 6, 2021

This minute covers some of the changes for the Home Health Proposed Rule that were released on June 21st. Make sure to stay tuned!

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OSHA Emergency Temporary Standard (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: June 28, 2021

This minute covers the COVID-19 Healthcare ETS (Emergency Temporary Standard) being officially filed in the Office of the Federal Register on June 17, 2021, and it became effective when it was published on June 21, 2021. Make sure to stay tuned!

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Provider Relief Funds Reporting Update (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: June 21, 2021

This minute covers the HHS revision of the Post-Payment Notice of Reporting Requirements as of June 11, 2021. This new version supersedes all previous versions of the Post-Payment Notice of Reporting Requirements documents. Make sure to stay tuned!

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Increase in COVID-19 Vaccine Administration Payments (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: June 14, 2021

This minute covers the news release from CMS concerning: Medicare Billing for COVID-19 Vaccine Shot Administration. Effective June 8 of 2021, CMS has now approved that the COVID vaccination administration payment is going to be $75 per shot, which is almost double what they had increased it to earlier this year. The emphasis on getting as many people vaccinated as we possibly can is apparent. Make sure to stay tuned!

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Post Payment Reviews Inside the Public Health Emergency (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: June 7, 2021

This minute covers the news release from CMS concerning, MACs Resume Medical Review on a Post-payment Basis. Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service. Make sure to stay tuned!

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Home Health Value-Based Purchasing Annual Report (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: June 1, 2021

This Minute covers a review of the Home Health Value-Based Purchasing (HHVBP) Model – Fourth Annual Report. Make sure to stay tuned!

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Emergency Preparedness Update (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: May 24, 2021

Today’s video clip covers the Updated Guidance for Emergency Preparedness memo released in March of 2021. You need to thoroughly review all of the changes that have taken place in this update. Make sure to stay tuned!

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Notice of Admission Transmittal (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: May 17, 2021

This Minute covers the highlights of Transmittal 10758, dated May 11, 2021 with updates to the Medicare Claims Processing Manual regarding the NOA implementation for January 2022. Make sure to stay tuned!

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Hospice Proposed Rule Comments & Happy Nurse’s Month! (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: May 10, 2021

Welcome to Monday Minute with Melinda! This Minute highlights some very key components of the Hospice Proposed Rule that needs your feedback. Make sure to stay tuned!

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The HEAT Act (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: May 3, 2021

Welcome to Monday Minute with Melinda! This Minute is a call to action regarding the Senate bill the HEAT Act. Please review and participate. Make sure to stay tuned!

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COVID Vaccine Administration Billing Update & Extension of the Public Health Emergency (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: April 26, 2021

Welcome to Monday Minute with Melinda! This session reviews the details of the Condition Code that must be used in billing vaccine administration for Medicare Advantage enrolled patients. Additionally, we touch on the extension of the PHE and corresponding CMS Waivers. Make sure to stay tuned!

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Sequestration, Reminder Regarding NPPs in Home Health & Update on Claims Processing (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: April 19, 2021

Welcome to Monday Minute with Melinda! Welcome to Monday Minute with Melinda! This session is loaded with updates regarding sequestration, claims processing and the use of NPPs in Home Health. Make sure to stay tuned!

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2022 Hospice Proposed Rule (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: April 12, 2021

Welcome to Monday Minute with Melinda! This video clip gives you some highlights of the just issued proposed rule and resources for obtaining details. Make sure to stay tuned!

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Medicare Regulatory Update (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: April 5, 2021

Welcome to Monday Minute with Melinda! This video clip will provides an update on Sequestration claims hold, Advanced & Accelerated Payments & Provider Relief Funds! Make sure to stay tuned!

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Accelerated and Advance Payment Recoupment to Begin (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: March 29, 2021

Welcome to Monday Minute with Melinda! This video clip will recap the process of Medicare recouping the Accelerated and Advance Payments from 2020. Make sure to stay tuned!

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COVID-19 Vaccine Administration (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: March 22, 2021

Welcome to Monday Minute with Melinda! This week’s video clip will discuss the billing and reimbursement for COVID-19 Vaccine Administration. Make sure to stay tuned!

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OIG Conducting Audit on Telehealth (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: March 15, 2021

Welcome to Monday Minute with Melinda! This video clip will recap some of the documentation requirements for telehealth and the OIG audit to take place. Make sure to stay tuned!

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Hospice ADRs on the Rise! (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: March 8, 2021

Welcome to Monday Minute with Melinda! This week’s video clip will provide some key elements of responding to Hospice ADRs. Monday Minute with Melinda gives agencies the opportunity to receive critical weekly video updates, Make sure to stay tuned!

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Exceptions for Late RAPs! (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: March 1, 2021

Welcome to Monday Minute with Melinda! This week’s video offers quick tips on ensuring that you are coding appropriately for requesting an exception to a late RAP in 2021. Monday Minute with Melinda gives agencies the opportunity to receive critical weekly video updates, Make sure to stay tuned!

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Home Health Final Claim Clarification (VIDEO)

By Melinda A. Gaboury, CEO / Posted on: February 24, 2021

Monday Minute with Melinda gives agencies the opportunity to receive critical weekly video updates. This week, Melinda highlights the most recent clarification for Medicare Home Health Billing of Final Claims in 2021. Help with cleaning out your Return to Provider Claims is just a click away!

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