Recovery Audit Contractor Adds Continuous Home Care Issue

The Recovery Audit Contractor (RAC), Performant, added a hospice issue this month to the list of CMS-approved issues, Issue 0201 – Hospice Continuous Home Care: Medical Necessity and Documentation Requirements. The review will determine if hospice Continuous Home Care (CHC) services were reasonable and necessary to achieve palliation and management of the patient’s acute medical…

Medical Review Resumes This Month

The Centers for Medicare & Medicaid Services (CMS) will resume medical revnew this month after originally delaying the program during the COVID-19 public health emergency (PHE). (NAHC Report originally reported this news on July 9.) On March 30, CMS suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic and, seemingly, for the…