Hospice providers will receive a 2.1% Medicare payment rate increase for calendar year 2017, representing a total increase of about $350 million, according to a final rule issued Friday by the Centers for Medicare & Medicaid Services (CMS). The final amount is slightly higher than the increase of 2%, or $330 million overall, which CMS […]
Category: CMS
Home health agencies already are becoming more enmeshed with hospitals and other providers through new payment models, and that’s set to accelerate thanks to a program announced Monday. The proposed bundled payment model could mean closer hospital and home health coordination for patients with certain heart conditions, as well as those recovering from hip and […]
Value based purchasing is already the reality in many states—and potentially on the horizon for the rest. For the states currently involved in the value based purchasing pilot, it’s a seismic change—and the stakes are high—but there are ways to manage the transition successfully, according to panelists participating in a July 20 Home Health Care […]
With less than two weeks until the first Pre-Claim Review Demonstration by the Centers for Medicare & Medicaid Services (CMS) begins in Illinois, home health care providers are eager to get their last-minute question answered. In the most recent public call with CMS, home health providers were mostly concerned with technical issues related to submissions. The demonstration […]
This week, a few members of the Home Health Care News team were swept up in the newly-released Pokemon Go game. Fortunately, the sensational mobile phone game didn’t distract us from bringing our readers the hottest industry news. Readers were intrigued by an ‘extreme’ case of Medicare fraud and which home care companies once again […]
It’s nearly time to break out the fireworks and throw the hot dogs on the grill. Before the 4th of July weekend was upon us, we were eager to bring our readers all the latest happenings in the home health industry. One of the nation’s largest home health care companies made a splash by announcing […]
After a damning report from the U.S. Government Accountability Office (GAO) on the rising number of Medicare claims appeals and the resulting dramatic backlog of unresolved cases, the latest proposed changes to clear out the backlog have appeared. Medicare Administrative Contractors (MACs) process an estimated 1.2 billion fee-for-service claims on behalf of the Centers for […]
With just over one month before the start of the Centers for Medicare & Medicaid Services’ (CMS) Pre-Claim Review Demonstration for Home Health Services, agencies in the five-state pilot program are eagerly looking for clarification on compliance requirements. The three-year program will begin in Illinois on August 1, with Florida and Texas beginning later this […]
The Centers for Medicare & Medicaid Services (CMS) has proposed reducing Medicare home health payments by 1% in CY2017, or $180 million. The proposed changes to the Medicare home health prospective payment system (HH PPS) follow the federal agency’s proposal to increase hospice payments by 2%, or $330 million for 2017. In 2015, care for […]
A new pilot program is up for consideration in the Senate following the introduction of legislation that intends to improve care for Medicare beneficiaries with advanced illnesses, such as Alzheimer’s disease, cancer and heart disease. The legislation would create new coverage options for end-of-life care and reduce some patient requirements to qualify for home health […]
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