Tag: final rule

CMS updates the Medicare physician self-referral law

CMS issued a final rule that aims to modernize and clarify Medicare physician self-referral law, also called “Stark Law” On November 20. Stark Law was first introduced in 1989, and has not been meaningfully updated since. The law aims to protect patients and nursing home residents from physicians pushing services that are in their own […]

PPS final rule increases agencies’ payments for 2019, finalizes PDGM

CMS has finalized a plan to launch a budget-neutral payment model for home health that utilizes 30-day payment periods and stops using the number of therapy visits to determine payment. That’s according to the 2019 PPS final rule posted Oct. 31 on the Federal Register website. The Patient-Driven Groupings Model (PDGM) will launch “on or […]

Final rule: Hospice payments rise by 1.8%, PAs can be attending physicians

Brought to you by Home Health Line. The hospice industry will receive $340 million in increased payments in 2019, according to CMS’ final hospice payment rule posted Aug. 1 on the Federal Register. That’s nearly twice the payment increase from 2018. Hospices will receive 1.8% more in payments. The industry only received a 1% increase […]

CMS decides not to move forward with Home Health Groupings Model in 2019

The following is an excerpt from Home Health Line. Agencies can breathe a deep sigh of relief. CMS won’t launch its drastically revised home health payment model after all. In the 2018 final PPS rule released Nov. 1, CMS announced that it would not launch the Home Health Groupings Model (HHGM) in 2019. “We are […]

2018 hospice final rule increases payments by $180 million

by: Josh Poltilove The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com. Medicare’s hospice payments, adjusted for inflation and other factors, will rise an estimated 1% in 2018, according to the final hospice payment rule posted Aug. 1.  That’s a $180 million increase.  By comparison, […]

Proposed 2018 hospice rule increases payments by $180 million, details Hospice Compare

Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estimated 1% in 2018, according to the proposed hospice payment rule posted April 27. That’s a $180 million increase. By comparison, the 2017 final rule included a 2.1% increase — $350 million — in payments. For routine home care, the payment rate for […]

Trump administration releases final ACA rule titled Market Stabilization

The Centers for Medicare & Medicaid Services (CMS) issued the final Market Stabilization rule on Thursday, April 13, to help lower premiums and stabilize individual and small group markets and increase choices for Americans.  Individuals obtaining coverage in the Marketplace created by the Affordable Care Act have faced double-digit premium increases, fewer plans to choose […]

CMS publishes Advance Copy of SOM with revised Requirements for Participation

CMS publishes Advance Copy of SOM with revised Requirements for Participation

Growing anticipation for CMS’ revisions to Requirements for Participation for Medicare can now be partially relieved by the Center’s publication of an Advance Copy of the State Operation Manual (SOM). The revised SOM serves as a comprehensive resource of all updates to Regulations, Appendix PP, and F-Tags.

CMS releases finalized home health PPS rule

The Center for Medicare & Medicaid Services (CMS) has released the finalized prospective payment system rule for 2017. The final rule cuts Medicare reimbursement to home health agencies slightly less than the proposed rule did earlier this year—now by $130 million as opposed to $180 million. The final rule implements the fourth and final year […]