WASHINGTON—The Centers for Medicare & Medicaid’s (CMS) proposed rate reductions for home health could be devastating for agencies if they are codified, said Bill Dombi, president of the National Association for Home Care & Hospice (NAHC). Even worse, CMS has left a door open to demand some $3 billion in clawbacks for prior years of what it interprets as over-payments.
PDGM
WASHINGTON, D.C. (November 1, 2022)—The Centers for Medicare & Medicaid Services (CMS) released its final rule for Medicare home health payments on October 31, settling on a rate reduction of 3.925% for 2023 with additional cuts to come in 2024. That's less than the 7.69% cut initially proposed by the agency for 2023, but still a blow to providers, according to industry advocates.
ST. LOUIS (October 25, 2022)—As the National Association for Home Care & Hospice’s (NAHC) Annual Convention and Expo concluded today in St. Louis, Missouri, one issue loomed over the attendees: What will happen with the federal government's home health final payment rule, which must be released no later than Nov. 2?
Washington, D.C. (August 18, 2022)—The Partnership for Quality Home Healthcare announced the results of a newly conducted national public opinion poll on the Medicare Home Health Program. The poll found widespread and deep support for Medicare home health care services and the need to prevent Medicare cuts to home health care.
LAS VEGAS (July 26, 2022)—Two senators have co-sponsored legislation that would prevent proposed Medicare rate cuts for home health agencies, and a companion in the House is expected to follow later this week, the National Association for Homecare and Hospice (NAHC) announced.
Adjust your agency's assessment attitude
ST. LOUIS (April 6, 2022)—The National Association for Home Care & Hospice (NAHC) is now accepting proposals to present new education at the 2020 Home Care and Hospice Conference & Expo in America's Center Convention Complex, St. Louis, Missouri, Oct.23-25, 2022.
The deadline for submissions is April 18, 2022.
Leadership conference focuses on jobs, Medicare Advantage, innovation & more
It’s a key to building your brand & boosting your bottom line
WASHINGTON, D.C. (September 24, 2021)—The Medicare Payment Advisory Commission (MedPAC) met to discuss the development of a mandated report assessing the impact of the shift to the Patient Driven Groupings Model (PDGM) payment model for Medicare home health, and in particular the 30-day episode and the removal of therapy utilization in payment determinations.
WASHINGTON, D.C. (August 31, 2021)—The National Association for Home Care & Hospice submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the latest home health proposed rule 86 Fed. Reg. 35874. The rule proposed changes to the Patient Driven Groupings Model (PDGM) case mix and reimbursement based on 2020 care data.
3 steps to better revenue cycle management
WASHINGTON, D.C. (March 23, 2021)—The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12085—Correction to Period Sequence Edits on Home Health Claims.
After a year like no other, HME & home health providers see brightness in their future
WASHINGTON, D.C. (November 6, 2020)—The Centers for Medicare & Medicaid Services (CMS) has issued another revision to change request 11855—Penalty for Delayed Request for Anticipated Payment (RAP) Submission—Implementation. The Change Request (CR) revision added remittance advice message information related to the No Pay RAP penalty.
Home health agencies (HHAs) should note that Medicare Administrative Contractors (MACs) will:
5 lessons & tools for the new payment model in action
WASHINGTON, D.C. (August 28, 2020)—The Partnership for Quality Home Healthcare—a coalition of home health leaders dedicated to developing innovative reforms to improve the program integrity, quality, and efficiency of home healthcare for our nation's seniors—submitted comments this week to the Centers for Medicare & Medicaid Services (CMS) in response to the CY 2021 Home Health Prospective Payment System (HH PPS) Proposed Rule.
NAHC to CMS: Roll Back 2020 Rate Adjustment Based on Faulty Prediction of HHA Behavior