Last Friday, the Medicare Payment Advisory Commission (MedPAC) convened for presentations and discussions regarding the Medicare hospice and home health benefits. The commission was presented information on current payment adequacy based on data from years past and suggestions from MedPAC staff for recommendations the committee will make to Congress for 2020.
Topics: Hospice, Home Health, Regulatory Update
CMS held an Open Door Forum last week, where the majority of the call was dedicated to the 2019 proposed Home Health Prospective Payment System (PPS) rate update rule. Read more for a summary of the rule:
Topics: Home Health, OASIS, home health five star rating, pps payment
NAHC provided it's members with a quick review of where home health and hospice stands legislatively at the beginning of 2018 in today's issue of the NAHC Report.
Topics: Hospice, Home Health, Regulatory Update
Preparation for the CMS initiated home health Pre-Claim Review (PCR) is falling short of what is needed to handle simple tasks, such as setting up a reliable documentation submission system. Endless reports of PGBA Medicare Administrative Contract (MAC) losing documents submitted electronically led to a CMS recommendation that home health agencies resort to antiquated fax submissions. Unfortunately, those fax submissions faired no better.
Topics: Home Health, Pre-Claim Review
Despite industry-wide concerns about the prior authorization requirement and how it will affect access to care, CMS has put forward their plans for a three-year Medicare pre-claim review demonstration, now dubbed the Pre-Claim Review Demonstration for Home Health Services.
Topics: CMS, Home Health