tci Medicare Compliance & Reimbursement - 2012 Issue 22

Home Health Coverage: Lawsuit Settlement To Torpedo Improvement Criteria

Time to beef up documentation showing the need for skilled care in maintenance therapy and chronic condition cases.Good news for home health providers: You will not forfeit Medicare coverage if your patient does not necessarily improve, thanks to a class action suit. The Obama administration has agreed in a proposed settlement of a nationwide class-action lawsuit filed last year, to scrap a decades-old practice that required many beneficiaries to show a likelihood of medical or functional improvement before Medicare would pay for home care and other post acute services, reports the New York Times.Under the agreement, which...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.