Georgia Pathways to CoverageTM (Pathways) is a Medicaid eligibility category in Georgia that launched in July 2023. Pathways seeks to increase access to affordable, quality healthcare coverage, lower the uninsured rate across Georgia, support participating members on their journeys to financial independence, and promote members’ transitions from Medicaid into private coverage. As trusted healthcare providers in Georgia, we are often the …
Action Needed: Georgia Senate Bill 505 Requirements for Hospitals
State Senate Bill 505 requires Georgia hospitals to annually publish and update specific financial information on their websites utilizing templates provided by the Georgia Department of Community Health (DCH). View the bill here. The templates are intended to standardize uniform reporting across all Georgia hospitals by July 1, 2025. Download Zip File of Templates Here. Read more from SORH: Georgia …
HomeTown’s CEO & Leadership Day at the Capitol
HomeTown Health Gathers Hospital & State Leaders for Annual CEO & Leadership Day at the Capitol HomeTown Health, LLC, a collaborative network of rural hospitals throughout Georgia and the Southeast, brought together more than 50 rural hospital leaders to visit the Georgia Capitol in Atlanta on February 8, 2024. This annual event brings rural hospital leaders to the Capitol to …
Preserving Medicaid Coverage for Children and Families through Redetermination is Vital for Georgia’s Rural Communities
As an organization dedicated to supporting rural healthcare systems, HomeTown Health knows that the more people in a community who have health care coverage, the healthier that community and its economy will be. Medicaid provides important coverage for many low-income rural communities, facilitating preventive care and care coordination for some of Georgia’s most vulnerable people. Yet, currently, many low-income rural families are …
An important notice from Kerry Dunning; SNF Provider Reports
SNF Provider Preview Reports are now available. The data contained within the Preview Reports is based on quality data submitted by SNFs between Quarter 4 – 2017 and Quarter 3 – 2018, for assessment-based quality measures, and between Quarter 1 – 2017 to Quarter 4 – 2017, for claims-based quality measures. Providers have until May 30, 2019 to review their …
Check your Use & Billing of Braces, an update from Kerry Dunning
The OIG and DOJ published have filed against 24 individuals involved in what the FBI is calling one of the largest health care fraud schemes in history. The scheme revolves around a nationwide brace scam and fraudulent telemedicine companies that led to more than $1.2 billion in losses. CMS announced adverse administrative action against 130 durable medical equipment (DME) companies. …
Physician Certification, an update from Kerry Dunning
This is a recommendation, not a requirement: As always, the initial physician certification and the 14 day certification can be signed and dated at admission. Nursing can fill in the required information, but a physician must date as well as sign the document. There has not been (nor has any regulation been updated) a requirement for timing. That in the …
Palmetto Update: Exception Deadline
If you are submitting an exception do so now. If no exception is submitted the recoupments will begin August 18, 2018.(source)
Medicare Advantage Overpayment: FAQs
Palmetto has just updated their FAQ page with more insights. Click here to see their answers!
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