article thumbnail

Hospice Billing Compliance: The Latest PEPPER Updates

Relias

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.

Hospice 98
article thumbnail

Hospice Care Considerations for People With Dementia

Relias

Near patients’ final days, they and their families can greatly benefit from hospice professionals who understand how to provide specialized care for dementia. Dementia has a long, variable course, making prognostication and determining hospice eligibility difficult. Below are four ways hospice can provide care for people with dementia.

Hospice 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

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.

Hospice 52
article thumbnail

CMS Updates Guidance for Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

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.

article thumbnail

CMS 2023 Home Health Final Rule: What Agencies Need To Know

Relias

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.

article thumbnail

Home Health Agencies Face Financial Burden of Proposed CMS Payment Cut

Relias

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.

article thumbnail

Home Health Specializations Boost Performance, Bottom Line

Relias

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.