Home health providers that have been waiting for the Medicare advance and accelerated loan repayment process to begin will have to wait a little bit longer. While the U.S. Centers for Medicare & Medicaid Services (CMS) has yet to release an official statement, Administrator Seema Verma has confirmed the agency will hold off on the […]
Category: CMS
The U.S. Centers for Medicare & Medicaid Services (CMS) is once again calling attention to its previously outlined commitment to value-based care strategies. The agency on Tuesday released new guidance to help states shift more toward value-based approaches under their Medicaid programs. The overarching goal of the guidance is to better align health care provider […]
In an effort to ease the cash flow challenges associated with the COVID-19 emergency, many home health providers took on advance and accelerated payment loans from the U.S. Centers for Medicare & Medicaid Services (CMS). Now, the time has come for the recoupment process to begin. But CMS has been quiet on the matter, creating […]
Nine months after initially floating the idea, the U.S. Centers for Medicare & Medicaid Services (CMS) has launched Care Compare, a consumer-facing database of provider quality information. The agency announced the launch on Thursday. CMS originally announced its plan to merge Home Health Compare with the seven other Compare sites in January. Agency officials said […]
Earlier this month, the U.S. Centers for Medicare & Medicaid Services (CMS) announced it will not immediately pursue a full-blown restart of the Review Choice Demonstration (RCD), a regulatory initiative designed to reduce improper billing in home health care. Instead, CMS outlined how it will move forward with a “phased-in approach” to RCD that gives […]
Spending on home health care services is down substantially under the Patient-Driven Grouping Model (PDGM), a recently unveiled analysis suggests. While the Bipartisan Budget Act of 2018 requires PDGM to be budget neutral, spending on home health care has actually been about 21.6% lower than projected, according to a detailed analysis from Dobson DaVanzo & […]
Confessions of a Home Health Agency Owner: ‘CMS Is Trying to Put Agencies Like Mine Out of Business’
For decades, home health agencies have learned to operate — and often thrive — in the midst of massive change. But since the start of 2019, that change has felt overwhelming for some agency owners, particularly those who run mom-and-pop businesses with razor-thin margins. Above all, perhaps, the decision by the Centers for Medicare & […]
In order for home health providers to see reimbursement success, they need to be able to separate myths from facts when it comes to the Patient-Driven Groupings Model (PDGM). But one specific point of confusion has been primary diagnosis clinical groups. “There are a lot of rumors and myths floating around out there,” Robbi D. […]
The U.S. Centers for Medicare & Medicaid Services (CMS) officially closed its public comment window for the 2021 proposed home health payment rule on Monday. Unlike the past couple of years, the latest proposed payment rule included relatively minor changes and rate adjustments for the year ahead. In light of the mild proposal, CMS only […]
U.S. Senator Kirsten Gillibrand (D-Ny.) is asking the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to ensure that in-home care providers have access to essential resources amid the coronavirus. Throughout the public health emergency, home health and home care providers have been vocal about the challenges […]