EXTRA Time To Participate in the CMS Low Volume Appeals (LVA) Settlement Initiative.

The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative was extended to June 8, 2018. QIRT strongly recommends home health agency participation in the LVA Settlement.

Low Volume Appeals (LVA) Initiative Settlement Option, Part 4 – The Extension

Fresh from CMS: a Low Volume Appeals Initiative (LVA) extension. TCMS has extended the period to use this opportunity to settle claims. What's New in LVA? 3/29/2018- The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative has been extended to June 8, 2018. Appellants that meet the eligibility criteria (and have... Continue Reading →

Education: The “E” in TPE

The formal addition of education in the TPE process after the results of the probe are summarized gives detail and suggestions on the agency's actual review findings to support improvement.

The RAC is Back.

We can now confirm to home health agencies: the RAC is back. More than a year after being given the okay to restart medical review activities, the Recovery Audit Contractor (RAC) for home health has posted the first Work Issue. During the hiatus of reviews, CMS updated and "improved" the RAC's process for reviews and follow-up.... Continue Reading →

What’s New with the Low Volume Appeals Initiative

Important reminder that Thursday, March 9, 2018, is the final day for appellants with National Provider Identifiers (NPIs) ending in an even number (0, 2, 4, 6, 8) to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative.

Low Volume Appeals (LVA) Initiative Settlement Option, Part 3

The Low Volume Appeals Settlement Process, also known as LVA, is a new option for agencies who are waiting for ALJ hearings or MAC/DAB reviews. Take advantage of this opportunity to settle fully-denied claims. When to apply for Low Volume Appeals Settlement The dates to apply for this new CMS initiative are here! Based on... Continue Reading →

Breaking News: Newly Filed Bill Revises HHGM

A bill designed to keep the federal government funded through March 23 has several provisions involving home health, including revisions to the face-to-face requirement and the addition of a new payment model similar to the Home Health Groupings Model (HHGM).

Low Volume Appeals (LVA) Initiative Settlement Option – Part 2

The Low Volume Appeals Settlement Process, also known as LVA, is a new option for agencies who are waiting for ALJ hearings or MAC/DAB reviews. Take advantage of this opportunity to settle fully-denied claims.  

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