With the recent Palmetto change in PCR non-affirmation for face-to-face encounters performed by NPs when the patient is not a direct admit to home health from an acute or post-acute care facility, MJS is offering a consulting package to home health agencies who may be impacted by the change. Consultation services are personally offered by MJS face-to-face and compliance specialists who will provide up to 8 hours of consultation by phone conferences, ZOOM meetings and/or email questions on some of the following topics:
1. Immediate changes the agency can take IF
· You are under Pre-Claim review.
· You are currently experiencing Targeted Probe and Educate claim review.
· You have ADRs pending submission with Palmetto.
2. Appeal strategies for any denied claims relating to face-to-face encounters (now and in contractor appeals pending)
3. Sample letter for physician practices who have used, or currently are using NPs, to perform face-to-face encounters in the practice.
4. Sample letter to NPs on how the changes may impact independent home health practice.
5. Phone conferences with agency on specific cases as the agency determines the need.
6. Online seminar training for intake personnel in the agency to assure ongoing compliance with face-to-face requirements – TBA with your agency’s needed times.
7. Recommendation to attorneys in your area who are eager to speak with agencies on the impact this change will make on home health care coverages for Medicare beneficiaries.
8. Other services as may be needed by the agency on this subject.
The consulting package is priced at $500 for up to 8 hours of individualized consultation to your agency’s needs. Click on the link to request additional information or to speak to an MJS team member who can assist with registration. If you would prefer to register directly, please complete the consulting for and call or fax payment arrangements. You will be called within 24 hours of request to arrange for consulting needs and best times and methods for contact.
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PALMETTO’S SWEEPING CHANGE IN LIMITING THE SCOPE OF NURSE PRACTITIONER’S TO PERFORM FACE-TO-FACE IN PHYSICIAN’S OFFICE OR BENEFICIARY’S HOME!
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