Florida Projects Steep Margin Decline for Medicare Home Health

Provisions within the proposed payment rule looks to negatively impact margins for Florida’s home health sector, according to analysis by the Home Care Association of Florida (HCAF) and the Partnership for Quality Home Healthcare.   Using the Medicare Payment Advisory Commission (MedPAC) methodology to calculate margins, Florida’s medicare home health margin will fall to 5.2% […]

Competitive Bidding Round 2 Draws DME Non-Compliance

On the heels of an announcement last week that Tennessee providers of durable medical equipment (DME) are skirting the Centers for Medicare & Medicaid Services (CMS) Competitive Bidding rules, such non-compliance appears to be a nationally widespread issue. Medicare mandates that DME providers who have submitted bids for Round 2 of the bid program are […]

CMS Warns Beneficiaries of DME Provider Change

The Centers for Medicare & Medicaid Services (CMS) began sending emails last week to notify patients of the impending Round 2 of its Competitive Bidding program. CMS also sent emails to providers of home medical equipment (HME), notifying them that the agency would also be reaching out to patients, HME Business reports. The messages describe […]

New VA Rule Adjusts Home Health and Hospice Provider Payments

The Department of Veterans Affairs (VA) has issued a final rule that amends its payment regulation for non-VA providers to include providers of home health and hospice services.  Effective November 15, 2013, non-Va home health and hospice providers that do not have a negotiated contract with the VA will be paid the lowest Medicare rate […]

CMS Proposes $180 Million Payment Boost to Hospices Nationwide

Hospices would receive a payment increase of $180 million for fiscal year 2014 under a new proposed rule issued Monday. The payment boost would translate into a 1.1% increase in federal Medicare payments from the Centers for Medicare & Medicaid Services (CMS), as a result of a 0.7% reduction in wage index changes and a 1.8% […]

CMS Delays PECOS Edit, Cites “Technical Issues”

The Centers for Medicare and Medicaid Services (CMS) announced today that home health claims that list an attending physician without a PECOS enrollment record will not be denied for the time being, reports Decision Health (DH).  The announcement from CMS arrived via an email message to Medicare providers April 25.  CMS had planned to implement an […]

Home Healthcare Community Applauds Senate Committee for Medicare Reform Initative

The Partnership for Quality Home Healthcare (PQHH) commended members of the Senate Finance Committee for urging regulators to increase efforts to combat Medicare waste, fraud and abuse.  Senators Orrin Hatch (R-UT), Chuck Grassley (R-IA) and Tom Coburn (R-OK) are urging the Centers for Medicare and Medicaid Services (CMS) to implement a moratorium on the installment […]

New Calif. Bill Aims to Regulate Private Home Care Agencies

A chairwoman of the Assembly Committee on Aging & Long-Term Care as introduced a bill that establishes regulations for private home care agencies.  Assemblywoman Mariko Yamada introduced the Home Care Services Act of 2013, which she believes outlines clear standards for training and background checks for home caregivers, reports the Daily Democrat (DD). The bill, […]

Health Care Law Changes to see Increased Benefits for Boomers

Baby boomers look to reap greater benefits than from the Affordable Care Act than before, as the federal government initiates changes to the health care law in coming years, reports USA Today. As unemployment and rising health care costs have shrunk many retirement funds among many aging Americans, the recession looks to have impacted boomers […]