Medicare Hospice Manual
Author: United States. Health Care Financing Administration
Publisher:
Published: 1988
Total Pages: 144
ISBN-13:
DOWNLOAD EBOOK →Author: United States. Health Care Financing Administration
Publisher:
Published: 1988
Total Pages: 144
ISBN-13:
DOWNLOAD EBOOK →Author: Cathy D. Ott
Publisher: Beacon Health, a Division of Blr
Published: 2011-02-22
Total Pages: 0
ISBN-13: 9781601468390
DOWNLOAD EBOOK →Medicare Hospice Management, Third Edition This comprehensive manual has been completely updated to include new payment rates, face-to-face physician encounter requirements, QAPI, and an in-depth look at service delivery. A core resource for every Medicare-certified hospice provider, each chapter integrates Medicare's regulatory requirements, clearly explaining the issues and requirements for compliance and payment. The manual contains valuable information on the daily operations of a hospice program. Hospice administrators, case managers, clinical directors, and homecare agencies that provide hospice services will find this to be an essential guide, reference, and tool for applying the theories and practices of hospice care. Chapters include: History of Hospice Administration and Services The Medicare Hospice Benefit The Care Delivery Process Contracted Facilities Ethics in Hospice and Access to Care Data Collection and Quality Improvement NEW! Quality Assessment and Performance Improvement Billing
Author: T. M. Marrelli
Publisher: SIGMA Theta Tau International
Published: 2018
Total Pages:
ISBN-13: 9781945157462
DOWNLOAD EBOOK →Author: Beacon Health
Publisher: Hcpro Incorporated
Published: 2014-05-14
Total Pages: 205
ISBN-13: 9781615691128
DOWNLOAD EBOOK →This comprehensive manual has been completely updated to include new payment rates, face-to-face physician encounter requirements, QAPI, and an in-depth look at service delivery. A core resource for every Medicare-certified hospice provider, each chapter integrates Medicare's regulatory requirements, clearly explaining the issues and requirements for compliance and payment. The manual contains valuable information on the daily operations of a hospice program. Hospice administrators, case managers, clinical directors, and homecare agencies that provide hospice services will find this to be an essential guide, reference, and tool for applying the theories and practices of hospice care. Chapters include: History of Hospice Administration and Services The Medicare Hospice Benefit The Care Delivery Process Contracted Facilities Ethics in Hospice and Access to Care Data Collection and Quality Improvement NEW! Quality Assessment and Performance Improvement Billing
Author: United States. Department of Health and Human Services
Publisher:
Published: 1988
Total Pages:
ISBN-13:
DOWNLOAD EBOOK →Author: Casey Fenton
Publisher:
Published: 2016-07-21
Total Pages: 0
ISBN-13: 9781556459351
DOWNLOAD EBOOK →The Hospice Guide to Billing and Reimbursement: Durable Guidance and Strategy for a Shifting Payment Landscape Casey Grimes Catherine Stapleton, MS The industrywide march toward standardized performance measurement and unified value-based payment structures requires hospice agencies to stay on top of CMS regulatory guidance. "The Hospice Guide to Billing and Reimbursement"is your comprehensive solution to implementing accurate, compliant, and competent billing practices at your organization. This book will help you provide the best training possible to your administrative staff and those who impact billing, increasing their competence and confidence about billing requirements and practices. It will equip providers with the broad frameworks and processes needed to develop billing systems and financial plans that meet CMS ever-sharper scrutiny. This book will help you understand: Regulators expectations surrounding billing and reimbursement for the Medicare hospice benefitRecent updates to payment terms, such as the introduction of the Service Intensity Add-on (SIA) and the two-tiered reimbursement structure for the provision of routine homecareWhat you need to do to prepare for the major changes still ahead (e.g., value-based purchasing models)How not to leave money on the table or be penalized unnecessarily Table of Contents: Today s Hospice Reimbursement and Billing Landscape at a GlanceOverview of the Medicare hospice benefitFoundations of hospice billing and reimbursementKey developments in recent yearsLarge-scale changes on the horizonLinking Hospice Philosophy, Care Practices and Outcomes, Operational Processes, and Received PaymentPromoting Ongoing Compliance With Long-Standing Components of Hospice Payment and BillingHonoring patient eligibility requirementsUnderstanding sequential billingDistributing Medicare coverage noticesCreating effective cost reportsResponding to additional development requests (ADR)Withstanding auditsAdapting Practices and Processes to Accommodate Recent, Industrywide Payment Rate and Process ChangesThe SIA and two-tiered RHC payment model introduced through 2016 rulemakingRecent adjustment to hospice caps calculation methodologyIntegrating the hospice PEPPER report (including recently updated coverage areas) into internal billing compliance initiativesAdhering to quality reporting expectations to avoid payment penaltiesPromoting timely filing of election notices and recertifications, as well as timely completion of face-to-face documentationCurbing high rates of recertification and revocationImplementing effective compliance strategies surrounding the launch of ICD-10 and general coding-related practices (including clinical documentation) that can influence paymentRecognizing and Readying Internal Systems for the Prospective Impact of Continuumwide Payment Reform InitiativesValue-based purchasingBundled paymentsAccountable care organizations (ACO)Implementing Enduring Billing Best Practices, Strategies, and Systems to Facilitate the Receipt of Deserved ReimbursementComplying with setting-specific guidelines, rules, and regulations, especially those governing hospitals, skilled nursing facilities, and assisted living facilitiesDeveloping effective initial and ongoing staff training"