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.
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 →
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.
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 →
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).
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.
Introducing the Low Volume Appeals Settlement Process, also known as LVA. This is a new option for agencies who are waiting for ALJ hearings or MAC/DAB reviews. QIRT highly recommends you take advantage of this opportunity to settle fully denied claims. CMS has just provided a new avenue for agencies stuck waiting for Administrative Law... Continue Reading →
With the new Conditions of Participation (CoPs) going into effect January 13th, QIRT consultants have been receiving multiple calls from current and potential clients requesting that we provide them with a new policy and procedure manual that covers the new COPs. On the surface, this seems like an easy enough request - for a fee, QIRT... Continue Reading →