WASHINGTON, D.C. (January 29, 2019)—The Centers for Medicare & Medicaid Services (CMS) released a list of frequently asked questions (FAQ) for the home health conditions of participation (CoP), effective as of January 13, 2018. Even though the final version of the interpretive guidelines for these CoPs was finalized at the end of August 2018, there were still outstanding questions. Many have been answered in the FAQs.
CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
8 areas you should monitor for success under this new model
WASHINGTON, D.C. (January 10, 2019)—Home health agencies face a potentially serious claim denial issue related to new Plan of Care requirements, the National Association for Home Care & Hospice reported in its Jan. 9 bulletin.
The Medicare Learning Network (MLN) has scheduled a call for Feb. 12, 2019, to cover the Patient-Driven Groupings Model that will be implemented Jan. 1, 2020.
The new home health reimbursement rule is not the end of the road
Recent gains won't slow down industry leaders
Competitive bidding gap period creates new considerations
Three Reasons January 1st Matters to the Medical Equipment Market
For patients with certain medical conditions, getting the right medical equipment can be life changing. However, the reality is that today’s health insurance plans often cover less than they used to, especially when it comes to medical equipment. This can be especially challenging as deductibles continue to rise. Since 2006, insurance deductibles have risen 396 percent, raising the average from $303 to $1,505 according to a KFF report.1
CMS publishes guidance to help home health providers transition
(December 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) recently published answers to more than 100 questions from home health providers, related to the Outcome and Information Assessment Set (OASIS)-D which becomes effective Jan. 1, 2019.
CMS publishes guidance to help home health providers transition
(December 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) recently published answers to more than 100 questions from home health providers, related to the Outcome and Information Assessment Set (OASIS)-D which becomes effective Jan. 1, 2019.
Updated December 6, 2018: The Council for Respiratory Care (CQRC), a coalition of the nation's leading home oxygen therapy providers and manufacturing companies, reiterated support for the Centers for Medicare & Medicaid Services’ key reforms to stabilize the market for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) including home respiratory therapy and supplies, but expressed concern over a sub-regulatory proposal to include home ventilators in the Co
Cities announced for educational tour
WASHINGTON, D.C. (November 28, 2018)—The National Association for Home Care & Hospice (NAHC) will co-sponsor with state home health associations a series of 12 one-day seminars around the country in early 2019, exploring the Patient-Driven Groupings Model (PDGM), what it will mean for home health, and how businesses can adapt to some of the most consequential regulatory changes the industry has seen.
(November 1, 2018)—The Centers for Medicare & Medicaid Services’ Market Saturation and Utilization Data Tool is one of many tools used to monitor and manage market saturation as a means to help prevent potential fraud, waste and abuse. It also assists health care providers in making informed decisions about their service locations and the beneficiary population they serve.
(November 1, 2018)—For home health agencies, beginning with calendar year (CY) 2020, the Centers for Medicare & Medicaid (CMS) will implement a new case-mix system called the Patient-Driven Groupings Model (PDGM) that puts the focus on patient needs rather than volume of care.
Beware of common ownership and subcontract arrangements
Evolving market requires focus on local market dynamics
(July 19, 2018)—The U.S. Senate unanimously approved legislation to delay until 2020 the requirement of electronic visit verification (EVV) to document when personal care services are provided. An identical bill passed the House of Representatives, sending the legislation to President Trump to sign into law.
WASHINGTON, D.C. (July 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate a state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute.
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