Archives: 2025, May
Understanding a Notice of Medicare Non-Coverage Update that Agencies Overlooked
By Melinda Gaboury / Posted on: May 27, 2025An important topic needs to be addressed that seems to have been overlooked by some agencies related to the recent update to the Notice of Medicare Non-Coverage, which took effect on January 1, 2025. We previously shared a Monday Minute discussing the new requirement that Medicare Advantage patients must now receive the same Notice of Medicare Non-Coverage form as traditional Medicare patients. This includes the BFCC-QIO information.
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Preparing for HOPE: Key Updates to Guidance Manual Ahead of the October 1 Implementation
By Melinda Gaboury / Posted on: May 19, 2025In the last week of April, a new version of the Guidance Manual for completing the HOPE tool was released, along with an updated version of the HOPE itself. That manual includes several updates, a few of which I’ll be sharing with you today.
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Addressing Outpatient Code Editor Error that is causing Home Health Billing Rejection Frustrations
By Melinda Gaboury / Posted on: May 12, 2025A home health billing rejection issue is leading to significant frustration and needs to be addressed. On April 25th, 2025, CMS issued Change Request 13992 to update the Outpatient Code Editor.
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2026 Final Rule for Medicare Advantage Programs Released
By Melinda Gaboury / Posted on: May 5, 2025The newly issued Final Rule for the Medicare Advantage programs will take effect in 2026. Medicare Advantage programs are set to receive a 2.83% increase in the rates paid to them by the federal government, helping to support the healthcare needs of their beneficiaries.
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