The home health industry could be bracing for another measure to combat fraud and abuse in a proposed pilot that would require preauthorization before seeing patients. The Centers for Medicare & Medicaid Services (CMS) quietly announced it is seeking approval for a Medicare Probable Fraud Measurement Pilot in five states. “The probably fraud measurement pilot would […]
TrueCare24, a startup offering house calls and telehealth services, now is accepting Medicare and has launched a subscription service. “While other services have catered to demographics with disposable income, TrueCare24’s vision is to make care accessible and convenient care for all,” CEO Leonid Popov stated in a press release Tuesday. As alluded to in the […]
In an attempt to bridle fraud, waste and abuse, the Centers for Medicare & Medicaid Services (CMS) has extended its moratorium on the enrollment of Medicare home health agencies, as well as on the enrollment of new Medicare Part B ground ambulance suppliers, in several cities for six more months. CMS has extended the moratorium twice, […]
Health care providers in the most common type of Accountable Care Organization (ACO) may see their payments based on new criteria, including adjustments based on region. The potential changes are meant to increase participation in ACOs, and follow some stakeholder recommendations. The Centers for Medicare & Medicaid Services (CMS) on Thursday proposed a rule that would […]
The first “Patient Survey Star Ratings” for Medicare-certified home health agencies have arrived. On Thursday, the Centers for Medicare & Medicaid Services (CMS) introduced the first of such star ratings on Home Health Compare, CMS’ public information website with details on how well Medicare-certified agencies care for their patients. The new star ratings, which were first announced in May 2015, […]
The Centers for Medicare & Medicaid Services (CMS) has issued its final rule requiring that physicians conduct and record face-to-face visits with patients in order to receive Medicaid coverage for home health services and medical equipment, similar to regulations already in place for Medicare. CMS released the rule Wednesday in the Federal Register. It will […]
There are 21 accountable care organizations (ACOs) slated to participate in the new “Next Generation” model, the Centers for Medicare & Medicaid Services (CMS) has announced. The Next Generation ACO Model was developed in part to address provider difficulties with the Pioneer ACO program. Like the Pioneer program, the Next Gen model is designed for […]
The time has arrived for the implementation of newly proposed Medicare payment policies, and home health agencies large and small affected by one in particular now have a resource aimed at thwarting any confusion. The home health value based purchasing pilot program (HHVBP) is officially underway in nine states as of Jan. 1, and the Centers […]
The National Association for Home Care & Hospice (NAHC) has publicly voiced its recommendations for the Centers for Medicare & Medicaid Services’ (CMS) proposed rule on discharge planning requirements. In a letter to CMS Acting Administrator Andy Slavitt, NAHC said the proposed rule contains vague standards and imposes a burden on home health agencies that has been “grossly […]
As the health care system continues to shift toward coordinated care and value-based purchasing, the Centers for Medicare & Medicaid Services (CMS) has released a new data set on home health agencies to increase transparency, affordability and accountability. The data shows services performed by home health agencies to fee-for-service Medicare beneficiaries and includes information on […]
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