Category: Home Health

OIG warns providers about COVID-19 vaccine fraud and abuse

The Department of Health and Human Services Office of Inspector General is reminding providers of the rules around administering the COVID-19 vaccine after complaints from patients charged for the vaccine and other reports of fraud and abuse around vaccine distribution. OIG is reminding all participating providers that they: must administer COVID-19 Vaccine with no out-of-pocket […]

President signs sequestration suspension bill into law

On April 14, President Joe Biden signed into law H.R. 1868, which extends a suspension of Medicare sequestration, according to The White House. The move is welcome news to Medicare providers who were preparing for 2% payment cuts if the measure was not approved. The bill was working through Congress last month in an attempt […]

CMS proposes hospice rule changes to rates, CoPs, quality measures

CMS released several proposed rules late Thursday, including the FY 2022 Hospice Payment Rate Update. “Despite the continuing public health emergency (PHE) generated by COVID-19, the Centers for Medicare & Medicaid Services (CMS) is pushing forward with significant changes for hospice,” the National Association for Home Care and Hospice noted in its initial analysis of […]

American Jobs Plan includes $400B for home care

Home care could see a significant increase in federal spending if Congress approves the $2 trillion economic package offered by President Joe Biden on March 31. If approved as introduced, the American Jobs Plan would include $400 billion “toward expanding access to quality, affordable home- or community-based care for aging relatives and people with disabilities,” […]

New survey results look at pandemic impact on health care workers

On Tuesday, April 6, the Kaiser Family Foundation and The Washington Post released more survey results from conversations with 1,327 frontline health care workers, including more than 290 working in the home. Participants were surveyed Feb. 11- March 7, 2021. And while most health care workers said their employer was “doing about the right amount” […]

Corrections to errors made by Medicare systems April 1

Medicare systems corrected three errors on April 1 affecting the payment of CY2021 claims. The errors were: Claims spanning January 1 were applying CY2020 rates in error Late Request for Anticipated Payment (RAP) penalties were not applying to outlier amounts  Late RAP penalties were being applied after the Value-Based Purchasing (VBP) adjustment when the VBP […]

CMS updates emergency preparedness survey guidance and pandemic best practices

CMS released updated guidance for surveyors related to emergency preparedness requirements on Friday, March 26, incorporating changes to the rules in recent years and lessons learned from the pandemic. The “Updated Guidance for Emergency Preparedness – Appendix Z of the State Operations Manual” detailed changes made through the Burden Reduction Rule (84 FR 51732) in […]

Senate vote keeps delay for sequestration cuts on track

A bill to delay 2% across-the-board Medicare payment cuts is heading back to the House after a key vote of support in the Senate on Thursday, March 25. Even though the signing of the bill will likely be delayed until mid-April, the 90-2 vote in the Senate will likely mean current Medicare payment rates will […]

Latest RAP-related claims error involves placeholder HIPPS code

Some agencies are facing new payment issues related to the no-pay RAPs that began January 1, 2021. MACs Palmetto GBA and CGS, collectively responsible for claims in 31 states, have recently alerted agencies to a potential issue where Medicare’s system is sometimes not replacing the placeholder HIPPS code used to match RAPs and final claims. […]

HHS extends public comment period for HIPAA Privacy Rule modifications

The Office for Civil Rights (OCR) announced on March 9 a 45-day extension for the public comment period for the Notice of Proposed Rulemaking (NPRM) to modify the HIPAA Privacy Rule. The NPRM was first published in the Federal Register on January 21. At the time, individuals had 60 days to submit their comments. The […]