This is an update to the blog post “The Different Parts of Medicare Health Insurance“ Medicare, first signed into law in 1965, was created to provide health coverage to America… Read More

Medicare Part A covers skilled nursing and rehabilitation care in a Skilled Nursing Facility (SNF) under certain conditions for a limited time. Coverage for care in SNFs is measured in &lsqu… Read More

The end is near! The COVID-19 Public Health Emergency (PHE) will officially end on May 11, 2023. When the PHE was declared on January 31, 2020, emergency declarations and waivers (some 1,135… Read More

A physician or supplier often has a lot of doubts when it comes to ambulance transports and ABNs. Most suppliers consider ABNs a way to avoid Medicare ‘medical necessity’ denials… Read More

Medicare Coverage for Ambulance Transportation  Medicare Part B covers emergency ambulance services and, in limited cases, non-emergency ambulance services. Part B covers medically nece… Read More

Utilizing an effective billing platform is a key ingredient in successful revenue cycle management (RCM).  All too often, though, the proactive maintenance these systems require falls b… Read More

Basics of Destinations for Ambulance Transportation Ambulance transport is covered to the nearest appropriate facility to obtain necessary diagnostic and/or therapeutic services such as a CT… Read More

Determining Medicare Drug Coverage While billing for Skilled Nursing Facility (SNF) or for hospital billing, billers always make the mistake of considering the wrong Medicare drug coverage… Read More

What if a Parent Can’t Pay for Nursing Home Care?… Read More

On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities (SNF) fo… Read More

The home health industry reached a major legislative milestone on Thursday, with U.S. Sens. Debbie Stabenow (D-Mich.) and Todd Young (R-Ind.) teaming up to introduce a new bill to support in… Read More

Like providers in all health care settings, the COVID-19 pandemic has not been kind to home-based care professionals. Yet the pandemic is also unlocking major growth opportunities for home-b… Read More

The Patient-Driven Payment Model (PDPM) — another Medicare payment overhaul in the skilled nursing facility (SNF) arena — could serve as an indicator for what the coming months w… Read More

While Addus HomeCare Corporation (Nasdaq: ADUS) has long been known as a personal care giant, it’s increasingly expanding in the more clinical home-based care arenas. It’s doing… Read More

As you know there are a list of place of services codes using in medical coding. These are very important for payer or insurance companies. It is a numerical code like CPT and ICD 10, which… Read More

Home health stakeholders have closely followed skilled nursing facility (SNF) operators during their transition to the Patient-Driven Payment Model (PDPM), another Medicare payment overhaul… Read More

Home health operators wondering how therapy utilization will change following the Jan. 1 implementation of the Patient-Driven Groupings Model (PDGM) need only look to their post-acute care b… Read More

The U.S. Centers for Medicare & Medicaid Services (CMS) released final language Wednesday for its Patient-Driven Groupings Model (PDGM), the sprawling home health payment overhaul that p… Read More

Healthcare providers, if you serve Medicare, Medicaid and Children’s Health Insurance Program (CHIP) patients in the counties and geographical areas impacted by Hurricane Irma and… Read More