CMS Deadline Approaches for Grandfathering DME Suppliers

Durable medical equipment (DME) suppliers without a contract from the Centers for Medicare & Medicaid Services (CMS) have until May 20, 2013 to send notifications to the Medicare beneficiaries they serve regarding their decision to be a grandfathered supplier for clients who live in a competitive bidding area and are currently renting competitively-bid DME. “Non-contract […]

CMS Proposes $180 Million Payment Boost to Hospices Nationwide

Hospices would receive a payment increase of $180 million for fiscal year 2014 under a new proposed rule issued Monday. The payment boost would translate into a 1.1% increase in federal Medicare payments from the Centers for Medicare & Medicaid Services (CMS), as a result of a 0.7% reduction in wage index changes and a 1.8% […]

House Bill Looks to Axe Round 2 of CMS Bid Program

Last night, the efforts of two Congressmen introduced a bill that will prevent the Centers for Medicare and Medicaid Services (CMS) from implementing Round 2 of its competitive bidding program. H.R. 1717, the Medicare DMEPOS Market Pricing Program Act of 2013, will stop the bidding program, forcing CMS to adopt a market-based approach to determine prices […]

CMS Delays PECOS Edit, Cites “Technical Issues”

The Centers for Medicare and Medicaid Services (CMS) announced today that home health claims that list an attending physician without a PECOS enrollment record will not be denied for the time being, reports Decision Health (DH).  The announcement from CMS arrived via an email message to Medicare providers April 25.  CMS had planned to implement an […]

Research Shows CMS Program Helps Seniors Transition to Home Care

In CMS’ effort to help nursing home residents move back into their homes and communities, 38% of successful transitions made from July 1 to Dec. 21, 2011 were patients over age 65, according to a Mathematica Policy Research progress report on the Money Follows the Person (MFP) program.  The program was first implemented in 2008 and allows […]

Home Health Industry: CMS Documentation Proposal Needs Work

A rule proposed by CMS that seeks to make documenting therapy care for patients easier has not been well-recieved by home health professionals as they believe the rule’s less flexible parameters will actually make documentation more difficult. The rule proposes a change in the way home care patients receiving therapy are evaluated by qualified therapists, […]

Healthcare Companies Drowning in Data Overload or Just Treading Water?

An Oracle report recently found an 85% increase in electronic data storage over the past two years, and although health care professionals may seem to be drowning in a sea of collected information, industry leaders believe the data overload is only temporary.   The Oracle report, which spanned 11 industries, surveyed 333 C-level U.S. and […]

Govt. Inspector Finds 25% of Home Health Agencies Make Inappropriate Medicare Claims

A Department of Health and Human Services Office of Inspector General (OIG) report released today finds that one in four Home Health Agencies (HHA) participated in questionable billing activity in 2010. The report, titled Inappropriate and Questionable Billing by Medicare Home Health Agencies, breaks down the $5 million Medicare paid to HHAs for inappropriate health […]

$62 Million Grant to Increase Use of Home Care in Iowa

Iowa’s home care industry will reap the benefits of a $62 million grant funded by the Centers for Medicare and Medicaid Services (CMS) in an effort to help long term Medicaid beneficiaries over the next three years by expanding availability of home care, according to the Iowa Department of Human Services.  The grant was awarded […]

Hospice Payments to Rise 0.9%, CMS Says

A net 0.9% increase in hospice payments will begin October 1, Centers for Medicare And Medicaid Services (CMS) announced in a home hospice wage index notice posted Tuesday.  The impact of this new rule is projected to decrease federal payments to hospices by $100 million in fiscal year (FY) 2013. Previously when introducing new rules, CMS has […]