CMS to Start Review Choice Demonstration in Oklahoma

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The Centers for Medicare & Medicaid Services (CMS) will be implementing the Review Choice Demonstration (RCD) for Home Health Services in Oklahoma, effective December 1, 2023. CMS has the ability to expand the demonstration to additional states in the Home Health & Hospice Medicare Administrative Contractor (MAC) Jurisdiction M if there is evidence of fraud, waste, or […]

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Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your […]

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Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your […]

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Important Hospice Quality Reporting Reminders

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The Centers for Medicare & Medicaid Services recently posted the Hospice Outreach Email for June and it contains reminders and updates on the various Medicare hospice quality reporting program (HQRP) activities.  There are two reminders hospices should take note of. Upcoming Reconsideration Period for the Fiscal Year (FY) 2023 HQRP Data submitted in 2021 impacts the FY […]

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Important Hospice Quality Reporting Reminders

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The Centers for Medicare & Medicaid Services recently posted the Hospice Outreach Email for June and it contains reminders and updates on the various Medicare hospice quality reporting program (HQRP) activities.  There are two reminders hospices should take note of. Upcoming Reconsideration Period for the Fiscal Year (FY) 2023 HQRP Data submitted in 2021 impacts the FY […]

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Final Reminder! Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Update! Home Health Claims Processing Issues

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NAHC became aware of home health claims processing problems in the last several weeks, caused by a Centers for Medicare & Medicaid (CMS) Service systems issue and some Medicare Administrative Contractor (MAC)-specific issues. (See January 12, 2022 NAHC Report for more information.) NAHC quickly began addressing these issues when it was brought to our attention. […]

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Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

By:

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Home Health Claims Processing Issues

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NAHC has become aware of some home health claims processing problems last week and this week because of a Centers for Medicare & Medicaid (CMS) systems issue and some Medicare Administrative Contractor (MAC)-specific issues.  NAHC quickly began addressing these issues when it was brought to our attention. The issues are: Notice of Admission (NOA) claims […]

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MACs to Send Direct Mailing to Hospices Regarding MA VBID Hospice Component Model

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In January 2021, the Centers for Medicare & Medicaid Services (CMS) initiated a four-year demonstration model (the MA VBID Hospice Component) under which eligible Medicare Advantage (MA) plans are permitted to offer hospice services as part of the benefit packages. For calendar year (CY) 2022, the MA VBID Hospice Component will expand such that plans […]

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MACs to Send Direct Mailing to Hospices Regarding MA VBID Hospice Component Model

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In January 2021, the Centers for Medicare & Medicaid Services (CMS) initiated a four-year demonstration model (the MA VBID Hospice Component) under which eligible Medicare Advantage (MA) plans are permitted to offer hospice services as part of the benefit packages. For calendar year (CY) 2022, the MA VBID Hospice Component will expand such that plans in […]

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