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Hello everyone, welcome to our Monday Minute. I hope you all had a fabulous Christmas Holiday with your family and friends and are ready to prepare for the New Year to come. Today I want to share with you a couple of things on the two most important transitional things as we move into 2022 for both Home Health and Hospice, three technically.

The first is for the Home Health Notice of Admission, which will go into effect January 1, 2022. Ensuring that you have someone that can directly key Notice of Admissions into the DDE System, in case your EMR System is not prepared to do that. Also making sure that someone within your organization is tracking those so that they are filed timely and received at the Medicare MAC within that five-day window.

For Hospice the Medical Review situation is out of control, meaning we have seen more TPE (Targeted Probe and Educate), more SMRC and more UPIC audits for the Hospice providers than ever before. So there are things that can be done in preparation. You need to implement a QA process to make sure that your charts are what they need to be. You need to be reviewing your PEPPER Reports to ensure that you understand where you are in the eyes of these reviewers as they are looking at your data analysis based on your billing. It’s imperative that someone in your organization, that is Clinical, is putting those charts together and reviewing them prior to submission for review.  Do work diligently to make sure that is occurring.

For both Home Health and Hospice, I wanted to touch on the fact that re-implementation of the 2% sequestration will be taking place in 2022. They will begin shortly into the year with a 1% sequestration and then that will move to a 2% sequestration. I will provide for you a link to the FREE webinar that we completed for the Notice of Admission. I will provide you some medical review links for Hospice and we will also provide you the link to the memo regarding the implementation of sequestration beginning again in 2022.

Thank you all for joining us today. We are very grateful and thankful that we are moving into 2022 stronger than ever before in Home Health and Hospice. If you need any assistance from us at all, please don’t hesitate to contact us and make sure as always that you continue to support your state and national Home Care and Hospice associations. Thanks and have a fabulous week. Happy New Year!

Medical Review for Hospice

https://www.noridiansmrc.com/completed-projects/01-013/

https://healthcareprovidersolutions.com/hospice-targeted-probe-and-educate-avoid-claim-denials/

 

Memo Regarding Sequestration

https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-12-16-mlnc#_Toc90391082