COVID-19 HCCI Update: Week of 03/30/20
During HCCI’s recent webinar, “The Impact of COVID-19 on Home-Based Providers, Practices, and Patients we encouraged practices to reach out to their local Medicare Administrator Contractors (MAC) for specific guidance on whether home-based primary care (HBPC) providers can bill for the home and domiciliary visit CPT code...
April 1st, 2020
Categories: Practice Management, Training
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HCCIntelligence™ Update: COVID-19 Telehealth Billing Requirements
In our recent article, Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions, available on HCCI’s COVID-19 Information Hub, we highlighted the requirements of virtual visits. We also provided an overview of the 1135 Telehealth Waiver as part of the president’s emergency declaration during...
March 24th, 2020
Categories: Practice Management
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Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions
The Home Centered Care Institute (HCCI) understands that many Home-Based Practices and Providers are increasing the use of virtual and telephonic care as an alternative to face-to-face care, as appropriate, due to the current COVID-19 pandemic. Though a telehealth waiver is mentioned under recent legislation (H.R.6074 – Coronavirus Preparedness...
March 17th, 2020
Categories: Practice Management, Training, Training & Education
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Annual Chart Audits Can Greatly Benefit HBPC Providers and Practices
About this Article: Regular chart audits can significantly help home-based primary care (HBPC) practices improve their coding accuracy and the quality of their documentation, while also identifying lost revenue due to under-coding or missed billing. In this interview, HCCI’s Brianna Plencner discusses how chart audits can also uncover...
February 12th, 2020
Categories: Practice Management, Training & Education
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Evaluating Your Staffing Model
Staffing costs are responsible for the largest share of a house call program’s expenses, so it is essential that staffing is appropriate to meet the needs of patients in the service area without sacrificing productivity. To enhance sustainability, a house call program should be evaluating its staffing on...
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How to Confidently Get Reimbursed for Prolonged Services (Non-Face-to-Face)
Since January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) has authorized payment for CPT codes 99358 – 99359 for prolonged services non-face-to-face (F2F). When used correctly, this is a significant reimbursement opportunity for Home-Based Primary Care (HBPC) providers. The CMS national payment rate for 99358...
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CMS Announces Request for Applications for Primary Care First Model Options
CMS Announces Request for Applications for Primary Care First Model Options (Highlights for Consideration included below) CMS released the Request for Applications (RFA) for the Primary Care First (PCF) and Seriously Ill Population (SIP) models last Thursday, October 24. The practice application period also started that day...
October 28th, 2019
Categories: Practice Management
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Chronic Care Management: One Way to Maximize Fee-for-Service Reimbursement
Would you like to maximize your reimbursements by up to $42 dollars per patient per month for the care being provided? Chronic Care Management (CCM) involves much of what you may already be doing to provide high-quality care for your patients: maintaining a comprehensive electronic care plan, managing...
September 11th, 2019
Categories: Practice Management, Tip of the Month
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Geographic Scheduling: Impact on Home-Based Primary Care Productivity
One of the unique challenges home-based primary care practices face is determining an effective geographic scheduling and route planning process.  The ability to automate and/or optimize routing of patient visits is key to minimizing travel time for providers, boosting productivity and increasing face-to-face time with patients. Dedicating the...
August 16th, 2019
Categories: Practice Management, Tip of the Month, Training
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Why is HCC Coding so Important for Home Care Medicine?
A hot topic in health care today is Hierarchical Condition Categories (HCCs), and there is no better time to consider the value of HCC coding to your home-based primary care program!  HCC coding is the risk adjustment method used by Centers for Medicare and Medicaid Services (CMS) to...
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