Claims
This is the timely filing limit (days) for Traditional Medicare
What is 365-days
This acronym stands for the Preferred, Acceptable, Discouraged (or) Unacceptable contract terms that are used as guidelines in our contracting process
What is PADU
This is our largest Commercial Payor
Who is United Healthcare
This is the term associated with the type of Hospice reimbursement for IP Hospitalization
What is GIP
These are the names of the seven (7) states that all start with the letter "M" where we operate at least one of our lines of business (HH, Hospice, Personal Care)
What is Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri and Mississippi
These are the common acronyms for each of the five (5) HH service disciplines
What are SN, PT, OT, MSW and HHA
This Replaces HH PPS in 2020
What is PDGM
Humana is the largest contract administrator for this Government program that provides services for the armed forces uniformed service members, retirees, and their families around the world
What is Tricare
This refers to when a patient is admitted for a short term hospital stay to give family caregivers a rest
What is Respite Care
This is the percentage of total revenue contributed by each one of our lines of business (HH, Hospice and Personal Care)
Home Health 63% (two-thirds); Hospice 33% (one-third); Personal Care 4%
This is the (current) Traditional Medicare reimbursement methodology
What is HH PPS Episodic Reimbursement
This is the alternative HH reimbursement methodology if we do not contract on a Episodic PPS basis
What is Per Visit
** DAILY DOUBLE **
As a collective group these independent State-based plans are the largest health insurer in the country
What are the Blue Cross plans
This is the patient's life expectancy (months) to qualify for hospice
What is 6-months or less
This seamless IT solution will fundamentally change our current operating environment in 2020
What is Duncan
This is the number of days in a traditional Medicare HH initial episode of care
What is 60-days
This refers to a contract term that prescribes an increase in reimbursement in each year after the first year of the contract
What is an Escalator
Payors require that all agencies go through this process which when complete they are considered "loaded"
What is credentialing
This is the gender (male or female) of patient most likely to be receiving hospice services
What is female
This will replace the current Amedisys IM (instant messaging) system in 2020
What is Microsoft Teams Chat
This is the term used for Per Visit reimbursement employed by Medicare if the patient has 4 or fewer visits
What is LUPA
This abbreviation stands for various Value Based contracting methodologies
What is P4P or P4Q
States have been converting this health insurance program over the last several years from State run to Commercial Payor administered programs that service low income members
What is Medicaid
This is how long we provide bereavement services to families after a patient's death
What is 13-months
This is the year that Amedisys was founded
What is 1982