Tag: final rule

CMS sets December 6 deadline for first dose of COVID-19 vaccines

Work now to record and review staff vaccination status and implement and update polices around vaccine requirements to prepare for a CMS deadline of Jan. 4, 2022, to have all eligible employees fully vaccinated. Keep in mind that there is no testing option under this rule. COVID-19 vaccines will be mandatory for the vast majority […]

Final Rule: CMS delays HHVBP implementation

CMS is giving agencies time to prepare before the national rollout of the Home Health Value-Based Purchasing model (HHVBP) begins impacting payments. That’s one of the big changes in CMS’ Home Health Prospective Payment System final rule, released late Tuesday, Nov. 2, 2021. The HHVBP model will adjust payments based on how an agency performs […]

CMS releases FY 2022 SNF PPS Final Rule (CMS-1746-F)

A final rule updating Medicare payment policies and rates for skilled nursing facilities under the SNF prospective payment system (PPS) for FY 2022 was released July 29 by CMS. The final rule includes updates on both the SNF Quality Reporting Program (QRP) and the SNF Value-Based Program (VBP) for FY 2022. The final rule also […]

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 […]

CMS announces a new finalized arbitration rule, proposes another that would postpone Phase 3

CMS has announced July 17 two new rules that, according to a CMS press release, will place more focus on SNF residents as a priority over paperwork by reducing unnecessary regulations and protecting their legal interests. The proposed rule would delay Phase 3 requirements, including QAPI and ethics and compliance standards. The final rule upends […]

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 […]