Welcome to the HealthPRO Heritage Blog

Potential Relief for Providers: New Legislation on Physician Fee Schedule

Posted on: November 25, 2020

Amidst the many challenges facing the long-term care industry in 2020, the Centers for Medicare & Medicaid Services (CMS) announced potentially devastating proposed cuts to the Physician Fee Schedule (PFS) back in August. (Note: The PFS is CMS’ way of calculating how therapists are reimbursed for delivering Medicare Part B services.)
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Tags: Physician Fee Schedule, CMS Physician Fee Schedule, advocacy

Understanding the Financial Penalties with Late RAP Submission in 2021

Posted on: November 24, 2020

As most home health providers are aware, beginning on 1/1/21 financial penalties will start to incur for any RAP (Request for Anticipated Payment) submission that occurs after 5 days from when a patient is admitted to home health services. Here is a breakdown of what this updated RAP submission will look like and exactly what financial penalties will occur:

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Tags: PDGM, Home Health Agency

Ensuring Financial Solvency with LUPA Mitigation and OASIS Scoring

Posted on: November 17, 2020

Reimbursement, revenue, payment, or better yet, the term “cash flow” seems to be on the mind of every home health agency in the nation today. Not only were agencies hit with the RAP reduction from 60% to a minimum 20% with the start of PDGM in January 2020; but the COVID-19 pandemic, which began in March, seemed to throw gasoline onto an already large cash flow fire by increasing the occurrence of LUPAs (Low Utilization Payment Adjustment).

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Tags: PDGM, Home Health Agency, LUPA

Amidst Nationwide COVID-19 Surge: Staying Smart + Staying Safe + Building Sustainability

Posted on: November 2, 2020

Amidst an unfortunate nationwide rise in COVID-19 cases, HeatlhPRO Heritage is relaunching several resources (and sharing new updates, too!) to reinforce our company's key strategies to:
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Tags: COVID-19