Tag: home health

Pre-Claim Review Delayed

The Centers for Medicare & Medicaid Services (CMS) has announced that it will not move forward to initiate its pre-claim review demonstration in Florida in October. CMS bases this decision after implementing the demonstration in Illinois in early August and finding “additional education efforts would be helpful before expansion.” CMS has stated it will take […]

Clearer picture of OASIS-C2 emerges with release of Guidance Manual

Most of the changes in the OASIS C2 Guidance Manual, released in June, were included in CMS’ announcement of the update late last year. The best surprise is probably that there are no surprises in the manual. It also provides more clarity for both the items assessed and the rationale for doing so. As Homecare […]

VNAA and Alliance issue notice regarding pre-claim review

The Visiting Nurse Associations of America (VNAA) and the Alliance for Home Health Quality and Innovation (Alliance) issued a public announcement expressing disappointment over the Centers for Medicare & Medicaid Services’ (CMS) ruling that moves forward with a pre-claim review pilot in five states.

MDS Central and HomeCare Insider have changed to become your NEW Post-Acute Advisor

MDS Central and HomeCare Insider have changed to become your NEW Post-Acute Advisor. We are now going to cover the news and regulations across the entire post acute care continuum, including: Long-term care Home health Inpatient rehabilitation Hospice Assisted living Post-Acute Advisor is still your place to ask questions, get the latest post acute care […]

Affordable Care Act payment model continues to improve care, lower costs

On August 9, the Centers for Medicare & Medicaid Services (CMS) released a new analysis demonstrating that the Independence at Home Demonstration continues to provide high quality primary care services for chronically ill Medicare beneficiaries in the home setting while saving the Medicare program money. The Independence at Home Demonstration is a patient-centered model that […]

Latest MedPAC report contains four reform recommendations for post-acute care

On March 15, the Medicare Payment Advisory Commission (MedPAC) issued its March 2013 Report to the Congress on Medicare payment policy. The report provides recommendations to increase the efficiency of Medicare by finding ways to provide high-quality care for Medicare beneficiaries at lower costs to the program. In this report, MedPAC recommends no update in […]

Historic Jimmo v. Sebelius settlement approved

A settlement in the Medicare Improvement Standard case, Jimmo v. Sebelius, was approved on January 24, 2013, marking a huge step forward for thousands of beneficiaries nationwide, according to the Center for Medicare Advocacy. Glenda Jimmo of Lincoln, Vt., was the lead plaintiff in a class-action suit filed after Medicare denied her coverage for nurses […]