Partners 7th Annual Connected Health Symposium Payment denial/appeals consultant has urgent message for Medicare providers
Even before President Obama’s promise to hire bounty hunters to eliminate waste and fraud from Medicare, Regional Home Health Intermediaries had been stepping up their rate of payment denials. Most often, justifications to withhold payments for already provided nursing or therapy services center around “lack of medical necessity.” In case after case, attorneys and appeals consultants [...]
Dear Ms. Smith, After our long relationship as consultant and client, please know that I care for you and Mr. Smith and your business. Otherwise, I would not have gone through this much effort to draw your attention to a situation that I consider critical to your agency’s survival. I would ask that you examine [...]
In our previous story, we reprinted a letter from a payment denials and appeals consultant who told a client he would stop representing their appeals until they improved their staff’s clinical documentation skills. At the end of the letter, he offered some examples of what kind of documentation they were giving him when he argued [...]
When HCTR editor Tim Rowan travels to Albuquerque next month to address the 4-state Southwest Regional Home Care Conference about home care technology, he will make the five-hour drive from Colorado Springs instead of flying. Ask him why and he answers without hesitation, “Two-hour advance arrival times, TSA security lines, airport parking fees, cramped seats, [...]
File this one under “lesson learned…the hard way.” Incorporate it into your next staff training. This agency properly followed the government’s appeal procedure after receiving a notice of payment denial. Excerpts below show that the administrative law judge did not find the provider’s care lacking, just its paperwork. That is correct, it is not merely [...]
Cisco took its video-based medical communications system to the Consumer Electronics Show in Las Vegas this month, signaling its long-range intention to market a version of the system, which many have seen Jack Bauer use on TV’s “24,” directly to the public.
According to research released late last month by Citrix, organizations are increasingly looking to Web conferencing technologies to cut costs and improve productivity. The study, “Web Conferencing Training Trends 2010: North America,” found that training is a major driver of this trend. The report is the result of a survey exploring the motivation of trainers in North America for their use of Web conferencing. The short online survey, conducted by 1080 Group, LLC on behalf of Citrix Online gathered 437 responses in September 2009.
One thing you can say about vendors and educators serving our industry, they know how to respond to a regulatory change. If you are still in need of staff training solutions for the imminent OASIS changes, we polled the industry and found a number of resources are available. Look through our descriptions of eight offerings and pick the one that best fits your needs.
by Julianne Haydel, RN Agencies often ask their consultant, “What do we have to do in order to pass survey?” Frankly, a complete answer would be so lengthy it is easier to ask how to flunk one. I can answer that one authoritatively because I have firsthand knowledge on how to completely bomb a survey. [...]
