The role of the Medicare fiscal intermediary and the regional home health intermediary, Part 2.
The Medicare fiscal intermediaries (FIs) are private insurance companies that serve as the federal government's agents in the administration of the Medicare program, including the payment of claims. There are two primary functions of the FI--reimbursement review and medical coverage review. Hospital-based home health agencies relate to the hospital's FI for reimbursement purposes. All home health agencies are assigned to a special FI, the Regional Home Health Intermediary (RHHI), for medical review issues. This may be the same FI or a different one than that audits the hospital's cost report. Freestanding home health agencies deal with separate reimbursement and medical review divisions within a single RHHI's office. The author reviews the role of the Medicare FI and the RHHI and their relationship to home health agencies. Part 1 was featured in the June issue.
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Arent Fox Kintner Plotkin & Kahn, Washington, DC.
D003365:Costs and Cost Analysis; D005375:Financial Audit / Q000458:organization & administration*; D006699:Home Care Services / Q000191:economics* / Q000458:organization & administration; D007345:Insurance Claim Review / Q000191:economics / Q000458:organization & administration; D006278:Medicare / Q000191:economics / Q000458:organization & administration*; D012051:Reimbursement Mechanisms / Q000191:economics / Q000458:organization & administration; D014481:United States