Managed Care

 

What's New Is Old For Home-Health Agencies in U.S.

MANAGED CARE October 1998. © MediMedia USA
Washington Initiatives

What's New Is Old For Home-Health Agencies in U.S.

MANAGED CARE October 1998. ©1998 Stezzi Communications
Washington Initiatives

Attention home-health agencies: In a major policy shift, the Health Care Financing Administration no longer will treat as "new" any agency that otherwise would qualify as "old" if not for the fact that it changed its organizational status from freestanding to hospital-based (or vice-versa) after fiscal 1994.

As a result, revisions to the per-visit and per-beneficiary payment limits governing the home-health interim payment system take effect this month — a move that should help those formerly "new" (how's that for an oxymoron?) agencies whose per-beneficiary reimbursement had been limited to the lower national average, rather than the higher blended-payment formula (75-percent agency specific, 25-percent regional).

Meanwhile, home-health agencies have received a hint from HCFA to check the legal health of their own homes: They have received a compliance guide to help them detect and combat Medicare and Medicaid fraud and abuse. The key point in the 62-page opus is that those who develop compliance plans should take a hard look for billing problems, falsified records, kickbacks for referrals, hiring individuals with criminal records and failing to refund overpayments.

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014