OASIS-Central

CMS Releases Home Health Final Rule

The Centers for Medicare and Medicaid Services (CMS) issued its annual Home Health Prospective Payment System (HH PPS) Final Rule last week on October 31, which will update the HH PPS rates for 2012. According to CMS, payments to home health agencies are estimated to decrease by approximately 2.31 percent. This decrease in payment that [...]

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Q: What is the action taken when Medicare discovers an overpayment to a provider?

Q: What is the action taken when Medicare discovers an overpayment to a provider? A: When Medicare discovers an overpayment of $10 or more, they will send a demand letter requesting payment. This letter will explain the process, including interest accrual (if payment not received within 31 days of the letter date). If they receive [...]

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If the payer source changes, do we have to do a discharge?

Q: When a current patient has a payer change to Medicare, we have to discharge the old payer and do a new start of care with Medicare as the payer. Is a discharge OASIS required for the first admission? We aren’t really discharging the patient, only the payer. A: If the initial payer is Medicare, [...]

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