Industry members can now access data on home care workers on the state level through the launch of a new resource offered by the Paraprofessional Healthcare Institute, as well as training standards that apply state by state. The new PHI State Data Center is a web-based database that provides state-by-state profiles of direct-care workers including […]
Category: Regulation
In its latest efforts to combat fraudulent billing behavior, the Centers for Medicare & Medicaid Services (CMS) has imposed the first Affordable Care Act (ACA) moratorium to bar the enrollment of new home health providers in the federal program. “The goal of the temporary moratoria is to fight fraud and safeguard taxpayer dollars, while enduring […]
Home care workers visited Capitol Hill in droves this week, rallying for minimum wage and overtime rights with leadership from the National Domestic Workers Alliance. Speaking for pending regulation under the Obama Administration that would guarantee those benefits, those advocating for the labor rights told The Hill they are hopeful the rules will be finalized […]
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 […]
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 […]
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 […]
The Centers for Medicare & Medicaid Services today released updated guidance on its durable medical equipment Medicare reimbursement program, which faces new requirements to go into effect on July 1. In advance of the new rule, which instructs DME MACs to implement requirements for detailed written orders for face-to-face encounters conducted by the physician, PA, NP or CNS for […]
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. […]
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% […]
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 […]