Federal health care policymakers have taken another step toward rolling out a required nationwide electronic visit verification (EVV) survey. The 21st Century Cures Act originally required home care providers and state agencies to begin adopting EVV systems by Jan. 1, 2019. EVV requirements are meant to reduce instances of fraud and abuse in the delivery […]
Category: CMS
Newly introduced bipartisan legislation in the U.S. Senate is targeting the widely opposed behavioral adjustments set to hit home health agencies next year under the Patient-Driven Groupings Model (PDGM). If passed, the legislation would require the Centers for Medicare & Medicaid Services (CMS) to base Medicare reimbursement rates on observed evidence and data, instead of […]
The Centers for Medicare & Medicaid Services (CMS) is taking further steps to cure lack of interoperability within the health care system, an issue that has long plagued the home health industry. On Monday, CMS released proposed rules that require many providers and insurers to adopt a secure, standard format for electronic patient data by […]
The long-standing moratoria on new Medicare home health agencies is no longer in effect anywhere in the U.S. The Centers for Medicare & Medicaid Services (CMS) allowed the temporary ban to expire on Jan. 30, a move that will likely improve patient access to home-based care in related markets, experts say. CMS initially implemented a […]
The Centers for Medicare & Medicaid Services (CMS) is proposing to further expand Medicare Advantage (MA) flexibilities for certain in-home services and supports for chronically ill Americans starting in 2020, the agency announced Wednesday. The move is in line with CMS’ larger goals of broadening the scope of the MA program, which has quickly grown […]
A recent court ruling against a home health care company could mean trouble for providers struggling financially as a result of Medicare recoupment, at least one legal expert believes. Currently, home health care providers that are overpaid for Medicare services are not required to repay the Centers for Medicare & Medicaid Services (CMS) while […]
When it takes effect next year, the Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) is expected to revolutionize home health agency operations and double billing efforts. As the biggest payment overhaul in years, it’s crucial for providers to spend 2019 preparing for — and fighting certain aspects of — […]
It’s been a hectic time since Bill Dombi officially took over as president of the National Association for Home Care & Hospice (NAHC) about 11 months ago. Perhaps more than anything, though, it’s been a period punctuated by the introduction of the Patient-Driven Groupings Model (PDGM), the biggest payment overhaul the home health industry has […]
Hospice leaders are, for the most part, encouraged by the move to explore a Medicare Advantage (MA) carve-in for hospice through an expanded demonstration. But several questions remain, they caution, with the bulk of them focusing on whether the hospice benefit could somehow be diluted or lessened. The Centers for Medicare & Medicaid Services (CMS) […]
The Medicare Advantage (MA) carve-in that many industry insiders pegged as “inevitable” has finally arrived. The Centers for Medicare & Medicaid Innovation (CMMI) on Friday morning announced it is expanding the MA Value-Based Insurance Design (VBID) model, using VBID to test out several wide-ranging updates to MA offerings, including a hospice carve-in set to take […]
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