Update on Face to Face
On November 6, 2014, The Centers for Medicare & Medicaid Services (CMS) issued final rule CMS-1611-F, Calendar Year (CY) 2015 Home Health Prospective Payment System (HH PPS) Final Rule. The HH PPS...
View ArticleQuality of Patient Care Star Ratings Preview Reports for January 2016 Now...
The Quality of Patient Care Star Ratings Preview Reports are now available in your CASPER folders. These reports contain data that will be publicly reported on the Home Health Compare website in...
View ArticleHospice CAHPS® Exemption for Size Deadline: August 10
The application deadline for a size exemption from the Hospice CAHPS Survey is August 10, 2016. For the CY 2016 data collection period, Medicare-certified hospices that served fewer than 50...
View ArticleMedicaid Adopts New Home Health Rules; F2F Requirement Delayed Until September 1
NH Medicaid adopted new Home Health Services Rules on July 1. The He-W 553 rules include eligibility requirements, provider requirements, covered and non-covered services and documentation...
View ArticleBilling for Nursing Visits in Home Health Shortage Areas by an RHC or FQHC
Section 1861(aa)(1)(C) of the Social Security Act authorizes Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) located in areas with a shortage of home health agencies to...
View ArticleCMS Expands List of Manifestation Codes under ICD-10 Effective 10-1-16
This week, the Centers for Medicare & Medicaid Services (CMS) issued Change Request 9754/Transmittal 3591, the October 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.3....
View ArticleCMS Issues Call for Technical Experts on Quality Measures
The Centers for Medicare and Medicaid Services (CMS) is currently soliciting nominations for technical expert panel members for quality measures developed under the Improving Medicare Post-Acute Care...
View ArticleCMS Solicits Comments on Data Items Under the IMPACT Act
The Centers for Medicare and Medicaid Services (CMS) is soliciting for public comment on a collection of standardized assessment-based data items developed under the Improving Medicare Post-Acute Care...
View ArticleCMS Proposed & Finalized Rules, Drug Price Updates
On July 25, 2016 CMS released the Advancing Care Coordination proposed rule. Looking to the aim of CMMI to test innovative payment and service-delivery models to reduce expenditures while preserving...
View ArticleCMS Publishes Final Rule for 2017 Medicare Home Health Rates
Yesterday, October 31st, the Centers for Medicare and Medicaid Services (CMS) announced its final rule regarding changes to the Medicare home health prospective payment system (HHPPS) for Calendar...
View ArticleCMS Billing Clarification
Last week, CMS issued the CY 2017 Medicare Home Health Prospective Payment System Final Rule. Overall, CMS estimates a 0.7% reduction in Medicare home health payments ($130 million in 2017...
View ArticleCMS Clarifies NWPT, Outlier Payments, and Updates Medicare Benefit Policy...
Last week, CMS issued Change Request 9898, transmittal #233. All Medicare-certified agencies should review this document. It clarifies the payment policy changes for Negative Pressure Wound Therapy...
View ArticleFixing PDGM
Despite opposition from the home health industry, CMS included a “behavioral assumption” reduction in its final proposal to move to a Patient-Driven Groupings Model in 2020. The reduction is expected...
View ArticleSummit on PDGM Coming to Boston this March
NAHC To HOST NATIONAL SUMMITS:Preparing Home Health Agencies for 2020 and Beyond Medicare Patient-Driven Groupings Model: A Revolution in Medicare Home Health Payment One-Day Intensive Educational...
View ArticleCMS Issues New FAQs on Medicare Conditions of Participation
CMS Issues New FAQs on Medicare Conditions of Participation The Center for Medicare and Medicaid Services sent State Survey agencies a new “Frequently Asked Question” memo regarding the home health...
View ArticlePDGM. Here we go!
CMS issued its final rule for the 2020 payment model, PDGM, on October 31. It included rates of payment that go into effect on January 1, 2020. The final rule offered some minor tweaks to the payment...
View ArticleNo MBI = No Payment
No MBI = No Payment As of January 1, 2020, all Medicare home health and hospice claims must include new Medicare Beneficiary Identifiers (MBI), regardless of the date of service. Claims without MBIs...
View ArticlePEPPER Data- The Free Comparative Billing Report You Need!
The RELI Group, along with its partners TMF Health Quality Institute and CGS, is contracted with the Centers for Medicare & Medicaid Services to develop, produce and disseminate provider-specific...
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Be Ready for BIMS!
The Centers for Medicare & Medicaid Services (CMS) plans to incorporate the Brief Interview for Mental Status (BIMS test) to assess for patients’ cognitive impairments as part of OASIS E. Due to...
View ArticleMore Clarifications for ICD-10 Change
The National Association for Home Care & Hospice (NAHC) has recently learned that the organizations responsible for the official ICD-10 coding guidance has issued clarification that would require...
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