Optimal Reimbursement Strategies

Optimal Reimbursement Strategies Optimal Reimbursement Strategies is the ONLY COMPANY THAT SPECIALIZES in Home Health Reimbursement Solutions.

Some of our exceptional services are; billing outsourcing, training, revenue recovery, billing operations review, reimbursement analysis and much

01/14/2015

Home Health PPS Final Rule for 2015
http://www.gpo.gov/fdsys/pkg/FR-2014-11-06/pdf/2014-26057.pdf

Each quarter, the Fiscal Intermediary Shared System (FISS) is updated toinclude new logic for claims processing, pricing...
10/05/2011

Each quarter, the Fiscal Intermediary Shared System (FISS) is updated to
include new logic for claims processing, pricing, etc. During this time,
claims with dates of service October 1, 2011, or later will be held in the
status/locations listed in this article. Please share this information with
your staff.

The October 2011 quarterly release hold will be October 1 through October 14, 2011.

09/23/2011

The next CMS Open Door Forum will be held on 9/28/11, click on link for more info.

**Updated September 23, 2011- The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, September 28, 2011 from 2pm-3pmET. This Forum is an audio only streaming web forum. Register for audio only streaming web forum before September 28th. To register for the forum, visit: https...

Palmetto GBA will be making changes to the password structure that will be allowed to access the DDE system on 9/11/11.
08/17/2011

Palmetto GBA will be making changes to the password structure that will be allowed to access the DDE system on 9/11/11.

This posting explains the DDE password changes affecting password changes made on and after September 11, 2011 for Jurisdiction 11 DDE users.

07/11/2011

Understanding exactly where claims are located in the system is the key to determining what action, if any, can be taken by providers who submit claims on the UB-04 claim form.

07/11/2011

CMS has issued the Proposed Home Health PPS Rate Update for 2012.

06/27/2011

Link to Palmetto's webpage and update to the revised CMS' Home Health Billing Manual

CR 7338 updates the Medicare Claims Processing Manual (Publication 100-04, Chapter 10 (Home Health Agency Billing)), which is included as an attachment. A principal reason for these updates is to remove outdated references and to make various detail clarifications to existing sections of this public

The address has changed for Quarterly Credit Balance reports.
05/19/2011

The address has changed for Quarterly Credit Balance reports.

This is a reminder for providers to use the correct credit balance report address for their provider type.

05/11/2011

Palmetto has been calculating Outliers incorrectly since 2010. See CMS' Medlearn Matters article for details.

04/26/2011

Updated Medlearn Matters article about therapy reassessment.

04/02/2011

Info regarding the next CMS Open Door Forum.
been posted

03/04/2011

CMS recently published a payment system fact sheet for the 2011 Home Health Prospective Payment System.

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