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 …
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 …
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 …
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. …
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 …
If you are submitting an exception do so now. If no exception is submitted the recoupments will begin August 18, 2018.(source)
Palmetto has just updated their FAQ page with more insights. Click here to see their answers!
Remember to review the policy! It has been brought to our attention that many member hospitals can benefit from this Medicare reminder, so our team of experts requested the following be shared: one-day stays with both Medicare and Managed Care claims are appearing frequently. Medicare policy is that for a patient to be considered inpatient, then the stay should exceed …
Important Update: Regarding Jurisdiction J (JJ) Medicare Advantage (MA) Overpayment Issue Attention JJ Part A providers: Palmetto GBA will extend the cancellation and recoupment date of these claims from July 1, 2018 to July 15, 2018, to allow providers additional time to research their patient account records and provide us with information to review and consider for exception. Please review …