Tag: home health

The number of 5-star agencies in quality of care dipped slightly in October 2019

The number of agencies achieving five stars in the quality of care ratings dropped slightly in the October 2019 refresh of Home Health Compare. While this isn’t the first time it’s happened, typically the number increases quarter over quarter. CMS data show 641 agencies nationwide earned five stars in the ratings system involving quality of care, […]

CMS to hold home health, hospice open door forum

CMS will hold its next home health, hospice and durable medical equipment open door forum at 2 p.m. EST on Nov. 6. Topics will include the home health payment rule and the review choice demonstration as well as a home health billing update related to the Patient-Driven Groupings Model (PDGM). View the agenda at https://go.cms.gov/1TlLRb4.

CDC releases guidance on coding for health care encounters and deaths related to e-cigarette, vaping

Coders now have guidance for health care encounters and deaths related to e-cigarette, vaping or product use associated lung injury (EVALI). The guidance, released October 17 by the Centers for Disease Control and Prevention (CDC), is consistent with current clinical knowledge about e-cigarette or vaping-related disorders, according to the CDC. This guidance is intended to […]

Medicare-enrolled nurse practitioners in Maryland to certify home health services

Starting in January 2020, Medicare-enrolled nurse practitioners in Maryland will be allowed to certify home health services as part of the Medicare Total Cost of Care (TCOC) Model. The change will be effective for services provided on or after Jan. 1, according to change request 11330. Currently Medicare only pays for home health if a […]

Bill would automate prior authorization through Medicare Advantage plans

Congress is considering legislation that would automate the prior authorization process within Medicare Advantage plans. Home health agencies and other providers under Medicare Advantage plans must receive prior authorization before they can visit a patient, which has caused some frustration among agencies. For example, a patient is being discharged from the hospital to home health […]

CMS finalizes discharge rule and clarifies points about aide competency testing

The long-awaited final discharge planning rule, released today, appears to offer some good news for home health agencies. And simultaneously CMS clarifies in a separate rule that pseudo-patients are OK to be used for home health aide competency testing, an issue there has been a lot of questions about. CMS states in the rule that […]

2020 National Provider Enrollment Forum Speakers

We are seeking speakers to present at the 2020 National Provider Enrollment Forum, to be held April 19-22 in New Orleans at the Sheraton New Orleans Hotel. Click here to view and complete the speaker application. Presenters must complete the application prior to the September 30 deadline. Accepted speakers and co-speakers receive free admission to […]

Background checks for long-term workers needs more attention from states

Several states are running behind on implementation of a national background check program covering home health agencies and hospice providers, as well as providers of personal care services. Only two out of 11 states that concluded their participation in the program in 2017 and 2018 implemented all the requirements, according to a report from the […]

Ohio agencies are running out of time to make RCD selection

The Review Choice Demonstration (RCD) is scheduled to begin in Ohio on Sept. 30, but agencies must make their choice selection by Sept. 15. Agencies that don’t make a selection by Sept. 15 will automatically be placed in postpayment review. During the selection period, agencies must choose pre-claim review, postpayment review or minimal postpayment review […]