New at Noyce Consulting — Medicare Coverage

Don't withhold home health entitlements from qualified beneficiaries

Beth Noyce

Tags Home Health, Medicare Coverage, no improvement standard

Old woman on oxygen

The Center for Medicare Advocacy (CMA) continues working to increase access to home health and hospice services for qualified beneficiaries who, unfortunately, are denied access to their Medicare entitlements based on erroneous coverage information. Some home health providers, either due to agency policy to control costs, or due to misunderstanding of Medicare coverage policies, withhold entitlements that are medically reasonable and necessary for qualified beneficiaries, to recover from an illness or injury, or to prevent or slow decline.

Don't forget to comment on OASIS-C2!

OASIS-C2 replaces OASIS-C1/ICD-10 January 2017, in whatever final form it takes. You can help determine what that final form will be if you submit your OASIS-C2 opinion and ideas to CMS, as long as you do so by May 31, 2016.

Palmetto: HbA1c Twice Yearly For DMII Patients if Stable, Quarterly if Not

For services on or after may 5, 2016, Palmetto will require only two HbA1c tests annually for patients with diabetes mellitus type 2 (DMII) who have "two [quarterly] consecutive HbA1c results meeting the treatment goals specified in the plan of care."