4 Lessons Learned on the Front Lines of Pre-Claim Review

With the controversial Pre-Claim Review Demonstration (PCRD) set to go into effect in Florida at the start of April, home health care agencies are preparing to be hit with the new requirements. After a bumpy start to the program in Illinois, many home health providers found themselves on a steep learning curve to get pre-claim […]

Movers & Shakers: Compassus, Van Dyk Health Care

Compassus Hospice Adds Senior VP and Chief Medical Officer Compassus, a nationwide network of community-based hospice, palliative and home health programs, appointed Kurt Merkelz, MD, to the organization’s executive team as senior vice president and chief medical officer. In this new role, Merkelz will lead Compassus’ quality and clinical initiatives across the more than 150 […]

CMS Addresses Concerns Over Home Health Pre-Claim Reviews

Days after unveiling a preauthorization requirement for home health agencies, providers expressed confusion and concern as the Centers for Medicare & Medicaid Services (CMS) attempted to clarify what the plan entails. The new preauthorization measure, dubbed the Pre-Claim Review Demonstration for Home Health Services, aims to crack down on Medicare fraud, waste and abuse in […]

Home Health Agencies Grapple With Prior Authorization Rule

Home health providers and associations were quick to denounce a preauthorization requirement after the Centers for Medicare & Medicaid Services (CMS) revealed it will move forward with its formerly announced plans. Across the board, industry officials expressed disappointment and concern with the CMS plans for prior authorization, now deemed the Pre-Claim Review Demonstration for Home […]

Interdisciplinary Teams Connect the Dots in Home Health Care

Between physical therapy, medication administration, assistance with activities of daily life and more, a home health patient’s care needs can be quite complex and at times prove difficult to manage. That’s why once patients move from an acute setting back to their homes, care coordination and collaboration become more important than ever, according to experts […]