CMS Redefines ‘Homebound’ for Medicare-Eligible Services

The Center for Medicare & Medicaid Services (CMS) has released a clarified definition of ‘homebound’ regarding eligibility for Medicare-reimbursable services. Individuals can be considered “confined to the home,” or homebound, if they meet two criteria that more closely align the Benefit Policy Manual to the Social Security Act’s definition, says CMS. The first criteria requires […]

DME Users Voice Hardships of CMS Competitive Bidding Program

Users of durable medical equipment (DME) have called upon a home health advocacy group in their efforts to voice hardships caused by the latest round of the Centers for Medicare & Medicaid Services (CMS) Competitive Bidding program. Round 2 of CMS’s Competitive Bidding Program went into effect July 1, 2013, and since then more than […]

CMS Delays Release of Final Home Health Payment System for 2014

In the wake of the government shutdown that left many government agencies under capacity for 16 days, the Centers for Medicare and Medicaid Services announced this week it will be postponing the release of its Home Health Prospective Payment System Final Rule until “on or before” November 27. The rule will take effect January 1, […]

CMS Releases New DME Competitive Bidding Payment Info

The Centers for Medicare & Medicaid Services (CMS) announced on Oct. 1 the single payment amounts for Round 1 Recompete of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. Payment amounts for DME will decrease by a projected 37%, on average, from Medicare’s fee schedule rates across the six categories included […]

Congress Members Band Together Against Home Health Cuts

Nearly 150 House Representatives have sent a letter to the Center for Medicare & Medicaid Services (CMS) expressing concern regarding proposed cuts to Medicare home health reimbursements and how they could affect patient access to skilled home health care. The 142 bipartisan lawmakers signed a Sept. 25 letter urging CMS to conduct a complete analysis […]

Home Health Groups Applaud Long-Term Care Commission’s Efforts

Trade groups representing the home health industry are voicing support for several aspects of the Commission on Long-Term Care’s final report to Congress, which includes a recommendation that would expand access to Medicare coverage for home care.  The vision of the bipartisan, federally-appointed long-term care panel is to create “a more responsive, integrated, person-centered, and […]

Home Health Cuts Would be Worse Than CMS Expects, Says SBA

Last week the U.S. Small Business Administration’s Office of Advocacy sent a letter to the Centers for Medicare & Medicaid Services (CMS) requesting more evidence to back up the agency’s estimate for the impact of its proposed rule to adjust the home health prospective payment system. CMS published a proposed rule on July 3, 2013 […]

Home Health Agencies Expect Closings, Mergers Under Medicare Cuts

Fears of closing and possible mergers are on the minds of home health agencies as they are expected to operate under proposed Medicare cuts, reports Crain’s Detroit Business. The resulting impact under the Centers for Medicare & Medicaid Services’ (CMS) proposed rule can lead to many home health agencies either closing their doors or as acquisition opportunities […]

Nearly 90% of Seniors Oppose Medicare Cuts to Home Health

Seniors vastly oppose additional cuts to the Medicare home health benefit, with nearly 90% voicing concerns that cuts would do more harm than good, according to new polling data from Bring the Vote Home. An initiative created to help seniors, disabled Americans, their family members and their home healthcare clinicians participate in the nation’s democratic […]

Home Care Sector Grabs 30% of August Health Care Job Growth

The home health sector accounted for nearly a third of all health care job growth in August, according to the Bureau of Labor Statistics’ most recent jobs report.  Since 2012, home health has contributed more than 93,000 new jobs to the U.S. economy, with 9,500 added in August. That represents more than 30% of the […]