Blogs - Tagged: Home Health


CMS Plans Fraud-Tracking System

Posted: 05.29.15 | Category: Corridor Solutions

CMS plans to launch a new provider website to track enforcement against Medicare providers over potentially fraudulent claims. The Provider Compliance Reporting System would be accessible on ProviderMedicare.gov which has yet to be launched.

At this time, CMS does have systems in place to review claims, however, none of these existing systems allow for a comprehensive review of Medicare’s activity with CMS and its contractors. The new system will allow Medicare review contractors and CMS staff to view a provider profiles. Provider profiles will also show claims that have been flagged for review.

Providers and the public will have access to review information on the new system.

Click here to read more.

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Home Health & Hospice Medical Review Denial Reason Code Data Now Available

Posted: 05.28.15 | Category: Corridor Solutions

The home health and hospice medical review denial reason code data related to the most recent calendar quarter is now available on the CGS Home Health & Hospice website. Data is now available for the top five reason codes for the January – March 2015 quarter, as well as the denial description, number of claims denied during the quarter, and the percentage of claims denied. Additionally, resources to help prevent each denials are provided.

Click here to read more.

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PEPPER Updates For Home Health & Hospice

Posted: 05.06.15 | Category: Corridor Solutions

TMF Health Quality Institute, CMS’ contractor for the Program for Evaluation Payment Patterns Electronic Reports (PEPPER), hosted a webinar on April 30 to present PEPPER updates and to announce the addition of PEPPER for home health agencies.

PEPPER summarizes Medicare claims statistics for one provider in targeted areas that may be at risk for improper Medicare payments.

NAHC has put together a summary of updates, including target areas, for both home health and hospice.

Click here to see it.

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