2014 Medicare Home Health Billing Updates

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Adopt these physician billing edits in 2014

Are you aware of the tweaks CMS made to its rebasing calculations to affect low utilization payment adjustment (LUPA) rates in the New Year?

Basing the 3.5 percent rebasing cap on 2010 figures rather than 2013 ones actually brings the LUPA rates down from those proposed in June. "Since the Affordable Care Act states that the adjustment(s) may be no more than 3.5 percent in a given year, we proposed an increase to each of the six per-visit payment rates of 3.50 percent in each year from CY 2014 through CY 2017," the Centers for Medicare & Medicaid Services points out in the 2014 HH PPS final rule published in the Dec. 2 Federal Register.

Another change: "We will use three LUPA add-on factors in calculating the LUPA add-on payment amount for LUPA episodes that are the only episode or the first episode in a sequence of adjacent episodes," CMS confirms in the rule. "Creation of three LUPA add-on factors will result in more accurate LUPA add-on payments reflecting the discipline that performed the initial assessment visit."

If you don’t understand how to use this revised method for applying the LUPA add-on, you could be starting 2014 on the wrong foot.

You also need to know how to apply the changes to payment rates, case-mix weights, and non-routine supply payment add-ons.

In this audio conference, M. Aaron Little, CPA, will answer your toughest questions and provide updates on both physician billing edits and new program integrity contractor medical review activities planned for 2014. Along with other billing updates for 2014, you’ll have all the tools you need to update your home health services.

Walk away with copies of 2014 Medicare home health payment rate tables for each agency’s service area and handouts containing links to key regulatory information.

This session will help you:

  • Calculate the low utilization payment adjustment (LUPA) add-on
  • Apply the changes to payment rates, case-mix weights, and non-routine supply payment add-ons
  • Highlight these physician billing edits that will affect you
  • Determine the new program integrity contractor medical review activities planned for 2014

Who should attend: This session is appropriate for clinical supervisors, medical records personnel, billing and finance personnel, business office personnel, agency management and executives.

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About Our Speaker

Aaron Little - Hospice Billing Expert

Aaron Little - CPA has over 15 years of experience with BKD, LLP, and oversees the operations of BKD Health Care Billing Services, a special services team that manages more than $70 million in client revenues through billing outsourcing and recovery services for home care, hospice, and senior living organizations.  

A CPA and leading national home care and hospice consultant, he routinely performs revenue...   More Info
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