Out of 79 measures in the Home Health Quality Reporting Program, 15 are good candidates to be removed, an influential group of health care leaders is arguing. Home health measures related to depression assessment, increase in pressure ulcers, and stabilization in bed transferring are among those that should be on the chopping block, the National Quality […]
Happy Monday! To get your mind warmed up after a chilly weekend and get a jump-start on your week, take a minute to review the hottest news around the industry. To start, President Trump’s nominee to head the Centers for Medicare & Medicaid Services (CMS) will see a second voting round with The Senate Finance […]
Lawmakers in Florida have teamed up to ask Department of Health and Human Services (HHS) Secretary Tom Price to delay the implementation of the Pre-Claim Review Demonstration (PCRD) in the state. PCRD is currently underway in Illinois and is set to go into effect in Florida beginning April 1, 2017. U.S. Senators Marco Rubio (R-FL) and […]
Poor data collection regarding personal care could be making it easier to commit Medicaid fraud, and the Centers for Medicare & Medicaid Services (CMS) should issue guidance to improve the situation, according to a new report from the Government Accountability Office (GAO). There are two main systems through which CMS collects data about Medicaid personal […]
The newly finalized home health conditions of participation (CoPs) will have wide implications for agencies, but not all the changes are new or likely to be costly. The CoPs, which were updated after nearly three decades in a final rule issued in early January, aim to improve the quality of health care services for home health patients and […]
The Centers for Medicare & Medicaid Services (CMS) is proposing to switch a home health care quality measure that could help smaller agencies see a boost in star ratings. Home health agencies receive a Quality of Patient Care (QoCP) star rating based on how well they perform on certain quality measures. The star ratings are designed to […]
Despite its resistance, the U.S. Department of Health and Human Services (HHS) must comply with a previously announced timetable for clearing a massive Medicare appeals backlog after all, the U.S. District Court for the District of Columbia has decided. The Medicare appeals backlog grew exponentially in recent years due, in part, to more aggressive Medicare […]
The Centers for Medicare & Medicaid Services (CMS) has issued its final rule outlining the Medicare and Medicaid Conditions of Participation (CoP) for home health agencies. Prior to the new finalized rule published Monday, the CoPs had not been updated in roughly two decades, when many of the requirements were first created. The new rule was long-expected […]
New year, new us! While we stayed busy sticking to our New Year’s resolutions—for now, anyway—we were sure to keep our readers up to date on the latest home health care and home care news. Readers wanted to know where seniors are looking to retire and why, as well as some of the top home […]
The second round of probe-and-educate reviews is getting underway, with home health agencies in Florida the first to be affected. The first additional document requests (ADRs) will be sent to Florida agencies on or around Dec. 27, according to Medicare Administrative Contractor (MAC) Palmetto GBA. As in the first round of probe-and-educate, the MAC will […]
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