Category: Home Health

CGS releases checklist for redetermination submission

CGS administrators have released a checklist for redetermination submission for home health and hospice. This checklist is intended to ensure agencies provide all of the needed information in order to avoid being dismissed due to an incomplete form. To view the home health and hospice redetermination submission checklist, visit https://bit.ly/3sPZxTx. Visit the appeals/redetermination web page […]

Biden names acting administrator for CMS

The Biden administration has named Liz Richter the acting administrator for CMS. Richter has served since 1990 and most recently served as deputy director of the Center for Medicare, according to CMS. Richter began in the Bureau of Policy Development working on inpatient hospital payment policy. She later worked on a variety of Medicare payment […]

Ensure patients are up to date on vaccines for influenza, pneumonia

In the midst of the COVID-19 public health emergency and the height of flu season, it is important to ensure patients in home health and hospice care are up to date on their influenza and pneumonia vaccines. A post on a Celerian Group Company (CGS)’s website reminds providers: Home health agencies can provide the influenza […]

MACs announce RAP workaround due to error message

An issue with RAP processing under the new no-pay RAP policies has led to some RAPs being returned to agencies, but Medicare Administrative Contractors (MACs) have determined a workaround, according to a message from CGS to providers last week. While its optional for you to report a Core-Based Statistical Area (CBSA) code using value code […]

CMS announces expansion of Home Health Value-Based Purchasing Model

CMS will expand the Home Health Value-Based Purchasing (HHVBP) Model, officials announced January 8, 2021. Currently implemented in nine states, the model has saved Medicare an average of $141 million annually, with an average improvement in quality scores of 4/6%, according to a news release. The HHVBP Model adjusts payments to agencies based on quality […]

COVID-19 focused infection control survey tool for acute and continuing care

CMS is revising the COVID-19 focused infection control (FIC) survey tool for acute and continuing care to help ensure an effective assessment of a provider’s or supplier’s implementation of the appropriate infection prevention standards, according to a memo released December 30. In agreement with QSO-20-35-All (dated August 17, 2020) related to the revised survey prioritization, […]

Reach out to state health departments to determine next steps in COVID-19 vaccination planning

The Centers for Disease Control and Prevention (CDC) has offered guidance for states on how to prioritize vaccination, but it is up to local health officials to make final determinations on priorities and timelines for vaccine rollout. Louisiana started Monday vaccinating individuals 70 and older, as well as home health services patients and staff, according […]

Check local hospital data on facility-specific bed capacity and COVID-19 impact

The Department of Health and Human Services (HHS) recently began releasing new hospital COVID-19 data at the facility level. The data shows weekly impacts from COVID-19 on ICU and bed capacity. When announcing the new datasets last month, HHS noted that it should help local and regional collaborations. Home health industry leaders have noted that […]

CMS unveils new model for Medicaid Managed Care Organizations

CMS’ Center for Medicare & Medicaid Innovation has an opportunity for Medicaid Managed Care Organizations (MCOs) to participate in the Global and Professional Options of the Direct Contracting Model. The model seeks to encourage “Medicaid MCOs to partner with providers and suppliers and implement care coordination programs that can improve quality and reduce Medicare fee-for-service […]

Home health agencies must enroll with state Part B Medicare Administrative Contractor to provide home infusion therapy

Beginning Jan. 1, home health agencies that wish to provide and bill Medicare Home Infusion Therapy (HIT) professional services for calendar year 2021, will be required to enroll with the Part B Medicare Administrative Contractor (A/B MAC) in their state. Home health agencies will no longer be able to bill professional HIT services on the […]