WASHINGTON, D.C. (December 18, 2019)—Provisions permanently excluding manual complex rehab technology (CRT) wheelchairs from the competitive bidding program have been included in FY 2020 appropriations legislation. The legislation also exempts CRT manual accessories from bidding-derived pricing for an 18-month period, starting Jan. 1, 2020.
CMS
WASHINGTON, D.C. (December 12, 2019)—The Centers for Medicare & Medicaid Services (CMS) is requesting comments from the public on questions to include in their competitive bidding program survey to stakeholders. CMS is interested in surveying stakeholders such as beneficiaries, contract suppliers and discharge planners to monitor the program in real-time. These comments are due Friday, Dec. 20.
They offer an improved alternative to CMS audit practices
WASHINGTON, D.C. (December 5, 2019)—The Centers for Medicare & Medicaid Services (CMS) have posted the Notice of Preliminary Bid Evaluation (PBE) and sent emails for all bidders noting whether they have met bidding requirements in areas including PTAN status, surety bond, licensure and accreditation.
WASHINGTON, D.C. (November 26, 2019)—The National Quality Forum (NQF) recently posted the list of Measures Under Consideration (MUC) for future use in the hospice quality reporting program (HQRP) and the home health quality reporting program (HHQRP). The list is released annually, and there is an opportunity for stakeholder comment. In fact, comments were due Nov. 25, 2019.
WASHINGTON, D.C. (November 22, 2019)—The Office of Inspector General (OIG) recently conducted an audit of hospice organizations to check on the quality of hospice care and ensure registered nurses were conducting visits every 14 days. Below is a summary of the findings. The full report is found here.
ATLANTA (November 21, 2019)—Trella Health, a source for current and complete post-acute outcomes data and performance analytics, published its most recent Industry Trend Report and released a new quarterly data set. Trella customers now have access to Centers for Medicare & Medicaid (CMS) claims data through the second quarter of 2019.
WASHINGTON, D.C. (November 20, 2019)—The Centers for Medicare and Medicaid Services (CMS) has issued Change Request (CR) 11527, which includes further updates to the Claims Processing Manual, chapter 10, related to the Patient Driven Groupings Model (PDGM).
Reviewing best practices & opportunities before Jan. 1
Washington, D.C. (November 6, 2019)—Days after the Centers for Medicare & Medicaid Services (CMS) issued its final rule governing the new payment model for home health care, industry advocates are asking for guidance from the community on what to do next.
WASHINGTON, D.C. (November 4, 2019)—Two United States representatives have introduced legislation to protect patient access to non-invasive ventilators, the American Association of Homecare reports. HR 4945, the Safeguarding Medicare Access to Respiratory Therapy (SMART) Act, sponsored by Reps.
Updated November 1 with statement from NAHC
WASHINGTON, D.C. (October 31, 2019)—The Centers for Medicare & Medicaid on Thursday, Oct. 31, issued its final rule governing the transition to the Patient-Driven Groupings Model (PDGM) for home health care—cutting its assumptions for behavioral changes almost in half.
WASHINGTON, D.C. (October 30, 2019)—To allow home health agencies to transition to the Patient-Driven Groupings Model (PDGM), which becomes effective on Jan. 1, 2020, The Centers for Medicare & Medicaid Services (CMS) is rescheduling the implementation of the Home Health Review Choice Demonstration (RCD) for the remaining states of Texas, North Carolina and Florida. The demonstration is expected to begin in Texas on March 2, 2020. The choice selection period will begin on Jan.
Preparing for revenue shortfalls before the new billing mandate
WASHINGTON, D.C. (October 25, 2019)—The Centers for Medicare & Medicaid Service (CMS) has responded to members of the House of Representatives who joined a Congressional sign-on letter asking the Department of Health and Human Services (HHS) and CMS to reconsider plans to include non-invasive ventilators in Round 2021 of the competitive bidding program.
A look at CMS’s recommendations for providers
WASHINGTON, D.C. (October 18, 2019)—Recently the Senate Appropriations Committee announced legislation funding the departments of Labor, Health and Human Services (HHS), and Education. This legislation outlines discretionary spending limits allowable to HHS as well as recommendations from Congress on how the money is allocated within agencies and programs. This is an annual process dictating spending levels for the upcoming fiscal year.
CHICAGO (October 11, 2019)—As we kick off Breast Cancer Awareness month, Senator Tammy Duckworth (D-IL), lead sponsor for S.562, the Breast Cancer Patient Equity Act, visited Second Act Mastectomy Boutique in Chicago to meet with breast cancer survivors.
FRANKLIN, Tenn. (June 28, 2019)—AdhereHealth, a health care technology company focused on medication adherence, has announced a partnership with Papa, a companionship platform company serving the elderly, blind and disabled. A growing issue for millions of Americans enrolled in Medicare are social determinants of health (SDOH) such as loneliness, food insecurity and transportation, any one of which can impede optimal health care and medication adherence.
WASHINGTON, D.C. (October 3, 2019)—The Centers for Medicare & Medicaid (CMS) announced that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on Dec. 2, 2019. CMS also indicated that implementation of RCD in the remaining states of North Carolina and Florida is expected to begin on March 30, 2020, as CMS is pausing implementation to allow for the transition to PDGM which begins on Jan. 1, 2020.