Blog - Consulting

Palmetto GBA to Perform Probe Reviews for Home Health HIPPS Codes

Posted: 02.20.14 | Category: Consulting, TCG News

Palmetto GBA, an administrator of Medicare health insurance for CMS, recently announced service-specific prepay probe reviews on selected HIPPS codes, and in addition will set three service-specific probe medical review edits. According to Palmetto GBA, “These edits will be set to select 100 claims from Florida; 100 claims from the following state grouping: Illinois, Louisiana, Mississippi and Texas; and 100 claims from all the remaining 11 states within the jurisdiction.”

In preparation for a possible probe review, or just to validate that your organization is maintaining compliance, The Corridor Group (TCG) offers ongoing and targeted consulting services. TCG will perform a sample prepay audit that will determine what improvements can be made specifically for a possible HIPPS code. If problems are found TCG will help prepare your company for a potential self-disclosure.

Contact a TCG expert for more information regarding audit readiness.

Get Expert Answers to your Home Care and Hospice Questions

Posted: 02.07.14 | Category: Consulting, TCG News

“What is Value Based Purchasing (VBP) and why should I care?” “How can I get an edge on the competitors in my market?” “How can I get ready for ICD-10?” Your agency needs to know the answers to challenging questions like these, and The Corridor Group’s Ask an Expert service is ready to help!

Ask an Expert is designed to assist your organization on an as-needed, day-to-day basis to get the answers you need. Let our Experts help you stay in compliance, keep operational costs down and grow your business to thrive in the changing health care environment.

Ask an Expert is a Valuable Resource for your Agency:

  • Dedicated Expert is assigned based on your specific needs
  • Available via phone or email within 24 hours of contact during normal business hours
  • Package of 10 hours of professional guidance
  • Renewal options are available after initial sign up

Register for Ask an Expert today and learn the full details on the service at here.

NHPCO Provides Tips: Hospice Certification & Recertification

Posted: 12.04.13 | Category: Consulting

NHPCO and the Medicare Administrative Contractors (MACs) staff have suggested that hospices check the attestation statement for the narrative to ensure the below language is included, in order to avoid claims denials.

“the physician confirms that he/she composed the narrative”

MACs have identified attestation statements that do not meet this requirement, which should indicate that the physician composed the narrative, and thus were not in compliance with the requirement found in section 20.1.

NHPCO suggests that hospices make changes immediately so the language in their forms meets this requirement. And if an Electronic Medical Record (EMR) does not include the composed language in the attestation, hospices should notify their software vendor immediately to make the correction. For more information visit the NHPCO website.