February 20, 2018

AHCA summary of president's FY2019 budget proposal

The proposal also includes an array of new program integrity provisions with provider implications.
Read More

NAHC: Three threats in the President's FY2019 budget

According to the National Association for Home Care and Hospice, in this year’s budget, three specific threats were posed to the home health industry: repeal of the affordable care act, implementation of a unified post-acute care prospective payment system (PAC-PPS), and a shift to the home health groupings model.
Read More

Role changes for Community Based Case Manager

Each member will continue to be assigned to an Amerigroup CBCM; however, the CBCM will no longer be completing an annual level of care assessment.
Read More

Medicare election of hospice benefits

Administrative rules allowing hospice agencies to use the Medicare election of hospice benefits as an alternative to using the election of Medicaid hospice benefits have been implemented.
Read More

Therapy claims payment methodology

IHCA's reimbursement consultant offers analysis of the payment methodology DHS is using for therapy claims under Iowa Medicaid and the MCOs.
Read More

Providing Medicaid outpatient therapy

Here is clarification on provider enrollment and outpatient therapy claims for SNFs providing outpatient therapy to Medicaid beneficiaries.
Read More

Cultivate strong AL customer service skills

This guide provides insight into building partnerships between residents, families, staff, and the media to manage risk and avoid litigation.
Read More