Medicare’s PDGM, Open Enrollment, and Home Healthcare Agencies

by admin | Feb 2, 2021 | Home Health Care and Hospice Billing, Home Health Care and Hospice News

Ensuring the accuracy of your home healthcare clients’ insurance can be particularly labor-intensive for your staff following Medicare’s annual “open enrollment” period.  Overlapping Medicare’s “open enrollment” period in 2019 (from October 15 – December 7) is...

RAP Payment Changes Impacting Home Health Agencies under PDGM – Part 2

by admin | Jan 25, 2021 | Home Health Care and Hospice Billing

Home healthcare and hospice agencies have utilized Medicare’s Request for Anticipated Payment (RAP) mechanism to maintain adequate cash flow. However, the Centers for Medicare and Medicaid Services (CMS) plans to phase out the RAP mechanism under the new...

Home Health Care Billing and the Medicare Plan of Care

by admin | Jan 2, 2021 | Home Health Care and Hospice Billing

No payments can be made by Medicare to a home health care agency for care provided to a client unless a Plan of Care (CMS document 485) for that client was previously submitted. Furthermore, this Centers for Medicare and Medicaid Services (CMS) form must be completed...

Medicare’s Patient Driven Groupings Model (PDGM): Your Dementia Clients

by admin | Dec 29, 2020 | Home Health Care and Hospice Billing

Home health agencies will face a changed Medicare billing landscape in 2020, and a comprehensive management plan for this transition is critical. Implementation of the CMS’ Patient Driven Groupings Model (PDGM) will not only switch the unit of home health care payment...