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MANY HOSPICES CLAIMS REJECTED DUE TO PECOS FILE ERROR

Volume 24.16 Many hospices have experienced claim rejections resulting significant cash-flow disruptions because of reporting the certifying physician which did not match information in the Provider Enrollment, Chain and Ownership System (“PECOS”) Enrolled Physicians...

MEDICARE 2025 HOME HEALTH PAYMENT RATES RELEASED

The U.S. Centers for Medicare & Medicaid Services (“CMS”) has released final 2025 home health payment rates.  The national standardized 30-day period payment amount has been computed as follows: 2024 National Standardized 30-day payment rate   $   2,038.13 2025...

HOSPICE CARE ACT OF 2024 INTRODUCED

Volume 24.15 HOSPICE CARE ACT OF 2024 INTRODUCED  On Wednesday, Representative Earl Blumenauer introduced legislation, the Hospice Care Accountability, Reform, and Enforcement Act (“Hospice CARE Act”), which represents what would be the most significant hospice...

HOSPICE PREPAYMENT REVIEW EXPANDED

Volume 24.14 The Centers for Medicare & Medicaid Services (“CMS”) has announced that prepayment medical review will be expanded in California, Arizona, Texas, and Nevada.  The expansion will reach existing providers; however, a small sample of claims will be...