Relias
MAY 6, 2022
The Program for Evaluating Payment Patterns Electronic Report, or PEPPER, contains valuable information to help your hospice organization identify billing issues and prevent improper payment audits. The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide.
Social Work Blog
DECEMBER 17, 2021
Limitations on visits from family (as defined by each resident), other personal guests, and even certain service providers (such as hospice personnel and long-term care ombudsmen) have drastically exacerbated loneliness and social isolation among residents.
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Relias
OCTOBER 28, 2022
Though the benefits are clear, many home health and hospice agencies struggle to optimize coordination. Mandated by Medicare’s Conditions of Participation , care coordination is one of the most common citation areas on home health surveys. Increased scrutiny in hospices. Hospices should also be concerned about care coordination.
Relias
OCTOBER 7, 2021
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. Many older people naturally want to stay in their homes and close to their families for as long as possible. Financial Drain From Employee Churn. “We
Relias
AUGUST 15, 2022
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.
Relias
FEBRUARY 2, 2023
The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.
Relias
NOVEMBER 4, 2021
Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. In 2020, PDGM changed reimbursement by focusing more on patient characteristics.
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