Home Health Eligibility Improperly Restricted in 11 States: OIG

A report from the Office of the Inspector General of the Department of Health and Human Services finds that 11 states have improper restrictions on eligibility requirements for Medicaid home health benefits by requiring them to be homebound.  The OIG report, sent on July 1 to Marilyn Tavenner, the administrator for the Centers for Medicare […]

CMS Issues Rule Outlining SNFs and Hospice Partnerships

The Centers for Medicare & Medicaid Services (CMS) have issued a final rule that outlines the roles and responsibilities for developing a written agreement between long-term care (LTC) and hospice providers, should a LTC resident or patient elect to receive hospice care.  Under the rule, a LTC facility will be required to have only one […]

CMS Proposes Sweeping Cuts to Home Health Payment System

The Centers for Medicare & Medicaid Services (CMS) look to eliminate nearly 200 payment codes from the current Home Health Prospective Payment System (HH PPS).  The proposed rule would remove 170 codes from the HH PPS Grouper when it takes effect January 1, 2014, as part of the federal agency’s work to transition from the […]

CMS to Cut Home Health Payments by $290 Million in 2014

The Centers for Medicare & Medicaid Services (CMS) on Thursday proposed cutting payments to home health agencies by 1.5% in 2014, or $290 million based on several policies and adjustments.  “The proposed decrease reflects the effects of the 2.4 percent home health payment update percentage ($460 million increase), the rebasing adjustments to the national, standardized 60-day […]

CMS Delays DME Face-to-Face Rule

The Center for Medicare & Medicaid Services (CMS) announced today that it will be delaying the face-to-face rule regarding its durable medical equipment (DME) reimbursement program effective July 1, reports HomeCare Mag.  The three-month extension moves the deadline to October 1, and according to the American Association for Homecare, the delay will allow DME providers […]

CMS Drops a Third of Tenn. DME Providers After Licensing Issues

The Center for Medicare & Medicaid Services (CMS) dropped nearly a third of durable home equipment (DME) suppliers from participating in Round 2 of its competitive bidding program, leaving even fewer providers for Tennessee beneficiaries, according to an article from The Tennessean. The 30 out-of-state contracts were voided because the DME providers that had won […]

CMS Revokes 14,000 Medicare Licenses Under ACA, To Date

In just two years after the implementation of the Affordable Care Act (ACA), the number of Medicare license revocations more than doubled compared to preceding years, according to data released by the Centers for Medicare & Medicaid Services (CMS). Since March 2011, CMS has revoked 14,663 providers’ and suppliers’ ability to bill in the Medicare program. […]

Tavenner Gets Official Senate Nod to Head CMS

The United States Senate confirmed Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services (CMS), Kathleen Sebelius, secretary of the Department of Health and Human Services, announced Wednesday. “Marilyn brings with her a breadth of experience and expertise from virtually all angles of health care policy and delivery, having served as a […]

CMS Seeks Input on Proposed 2014 Hospice Wage Index

The Centers for Medicare & Medicaid Services (CMS) is seeking input from hospice providers on the fiscal year 2014 Hospice Wage Index Update regarding the burden it may have on providers. CMS’s proposed rule updates the hospice payment rates and wage index for 2014 and also continues the phase-out of the wage index budget neutrality adjustment […]

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 […]