Tag: payment

President Trump signs bill that creates new home health payment model

Source: Home Health Line On Friday, February 9, President Trump signed into law a bill designed to keep the federal government funded through March 23. The bill contains several home health provisions, including revisions to the face-to-face requirement and the addition of a new payment model similar to the Home Health Groupings Model (HHGM). Among […]

CMS works to ensure correct processing of disaster-related home health claims

The following comes from Home Health Line. Agencies submitting claims under a waiver authorized in response to recent hurricane and wildfire emergency events no longer will be at risk to have claims returned to provider (RTP’d) in error because of a failure to match the claim with a corresponding OASIS. Change Request 10372 issued Jan. […]

MedPAC makes recommendation that RCS-1 replace PPS in FY19

In their November meeting, the Medicare Payment Advisory Commission (MedPAC) discussed a way to increase the equity of payments within each post-acute care (PAC) setting before implementing a unified payment system by using a blend of the setting-specific and PAC PPS relative weights to establish payments in each setting. On Thursday, December 7, MedPAC official […]

Official cancellation of bundled payment models opens the door for a different approach to health system change

On Thursday, following a proposed rule published in August, CMS finalized the cancellation of the mandatory hip fracture and cardiac bundled payment models and implemented changes to the Comprehensive Care for Joint Replacement (CJR) Model. CMS Administrator Seema Verma stated that CMS intends to focus on “developing different bundled payment models and engaging more providers,” […]

CMS still seeking feedback on RCS-1

During their SNF/LTC Open Door Forum call yesterday, CMS announced that, although the comment period for an advanced notice of proposed rulemaking (ANPR) published in May officially closed this August after receiving more than 200 comments, the agency encourages providers to continue submitting feedback by sending comments, questions, or concerns to CMS’ email inbox at […]

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 […]

The essential role of MDS 3.0 in RCS-1

Written by Steven Littlehale, MS, GCNS-BC, executive vice president & chief clinical officer for PointRight. The full article originally appeared in the October issue of PPS Alert for Long-Term Care. The clinical and technical eligibility requirements for skilled care coverage in a SNF are unchanged under the proposed RCS-1 system—and frankly, those are just about […]

Avoid Medicaid payment delays by being proactive

Written by Becky Ziviski, CPA, LNHA, speaker and author of Profit Without Census: A Nursing Home Administrator’s Guide to Profitability by Department. Editor’s note: This post is an excerpt taken from the full article originally published in the August issue of PPS Alert for Long-Term Care. A delay in the application process for Medicaid can […]

CMS proposes canceling cardiac bundled payments and changes to CJR model

Editor’s note: Part of this post has been republished with permission from the author, Reg’s blog. Last week, CMS announced a proposed rule to reduce the number of mandatory geographic areas participating in the Center for Medicare and Medicaid Innovation’s (Innovation Center) Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. In addition, […]

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, […]