Posts Tagged ‘dual eligibles’

Palmetto GBA: Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims

November 9, 2012

Palmetto GBA released this week an MLN Matters® article intended for home health agencies who bill Regional Home Health Intermediaries (RHHIs) or Medicare Administrative Contractors (A/B MACs) for services provided to dual eligible beneficiaries.

Change Request 7865 contains no new policy. It revises Medicare systems to ensure that payment episode adjustments for overlapping home health care episodes are not incorrectly applied. (more…)

CMS: News Models for Dual Eligible Tested

August 30, 2012

The Centers for Medicare & Medicaid Services provided guidance to states on opportunities to test two new financial models designed to help states improve quality and share in the lower costs that result from better coordinating care for individuals enrolled in Medicare and Medicaid. (more…)

9 Health Care Reform Changes for 2012

July 3, 2012

The Remington Report reports that 2012 kicks-off rapid changes to health care reform. Join HCAF for the 2012 Annual Conference & Trade Show later this month in Orlando for sessions geared toward health care reform and its impact on the home care industry, including care transitions, accountable care organizations, dual eligibles and more!

The nine major changes for 2012 are: (more…)

Advocates Concerned Over States and Dual Eligibles

May 8, 2012

Kaiser Health News reports that some states likely will begin testing new ways to care for people who qualify for both Medicare and Medicaid early next year — a timeline that has some advocates urging officials to slow down. (more…)