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Recent Discussions

  • Posted in: Open Forum

    ​Dear Members, Just updating you on this issue following some discussion we had at our Hot Issues conference in San Antonio last week, as well as feedback we have received from United, in particular. United and some of the other MCOs have been issuing ...

  • Posted in: Open Forum

    Our agency received letter from Palmetto GBA dated October 5th, regarding upcoming TPE. The letter states three rounds of prepayment probes. The reason for the probe states," Your organization was selected for review based on Internal Data Analytics. ...

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    RE: PDGM Impact

    Posted in: Open Forum

    Audrey, Using your formula, (unless I did it wrong) we're subtracting PDGM (Column "L") from our current rate (Column "K") Shouldn't we be subtracting "K" from "L"? Thank you, ------------------------------ Louis Ponder Approved home Health ...

  • Posted in: Open Forum

    Pre-Claim Review 2.0 is coming soon to the first of five states subject to the federal demonstration officially called the Home Health Review Choice Demonstration (RCD). Illinois starts RCD on December 10, 2018, followed by North Carolina, ...

  • Posted in: Open Forum

    Agreed, Summer thanks for sharing with everyone. Great information. ------Original Message------ Summer - Thanks so much for posting this worksheet.  After putting a formula into column M (=[@[Total $, 153-group current system]]-[@[Total $, ...

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