Category: Regulations

HHS considers modifying HIPAA

Source: Home Health Line HHS’ Office for Civil Rights (OCR) has issued a request for information (RFI) to help it identify provisions of HIPAA privacy and security regulations that should be modified. It wants to “remove regulatory obstacles and decrease regulatory burdens in order to facilitate efficient care coordination and/or case management and to promote […]

Review choice demo won’t start on time in Illinois

Source: Home Health Line CMS has announced that it its review choice demonstration won’t launch as planned in Illinois on Dec. 10. That’s because the demonstration has not yet received Office of Management and Budget approval, CMS said in a Dec. 10 post. CMS notes that when approval is received, it will post “final, approved […]

Home health industry asks CMS to wash away challenging bathing requirement

Source: Home Health Line Given an opportunity to provide insights about Medicare regulatory requirements that are burdensome, many in the home health industry pointed to tub baths currently being an aide competency requirement under the revised Home Health Conditions of Participation (CoPs). The vast majority of home health patients don’t take tub baths, making it […]

CMS schedules Q&A session related to guidance from OASIS-D events

Source: Home Health Line CMS has announced that from 2 p.m. to 3 p.m. EST Nov. 29, it will hold a question-and-answer session related to guidance on the OASIS-D presented during webinars in August and September and a Train-the-Trainer event in Baltimore in November. OASIS-D takes effect Jan. 1, 2019. Learn more about the event […]

Post-acute care might see relaxation of emergency prep requirements

Home health agencies and other facilities only would need to review their emergency preparedness programs every two years if a proposal from CMS is finalized. CMS’ proposed rule, “Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction,” was included in the Sept. 20 Federal Register. The federal Medicare agency is […]

CMS posts final interpretive guidelines for revised CoPs

CMS on Aug. 31 posted the final interpretive guidelines for the revised Home Health Conditions of Participation (CoPs). The 77 pages of guidelines are effective immediately and should be communicated with all survey and certification staff, managers and state/regional office training coordinators within 30 days of Aug. 31.

Post Acute Medical to pay anti-kickback fines

Post Acute Medical, LLC, (PAM) a Pennsylvania-based operator of long-term care and rehab nationwide, has agreed to pay the United States, Texas, and Louisianaafter violating the False Claims Act. PAM’s conduct allegedly resulted in false claims to Medicare as well as certain Medicaid programs. The latter are jointly funded by both the federal and state […]

Does the home health episode have any effect on readmission?

By The Bottom Line Q: We have a patient that was in the hospital for one week. The patient went to another skilled nursing facility (SNF) for 25 days, then went home, but used home health services. The patient now wants to come back into our SNF. It is within 30 days of the previous […]

SNF PPS final rule published, new payment model to begin October 1, 2019

It’s official: According to CMS’ Skilled Nursing Facility (SNF) Prospective Payment System (PPS) final rule published in the Federal Register yesterday evening, the Patient-Driven Payment Model (PDPM)—the new case-mix methodology to replace RUG-IV)—is effective October 1, 2018. Facilities will have a year to transition to PDPM from RUG-IV by the October 1, 2019 implementation date. […]