The Centers for Medicare & Medicaid Services (CMS) recently emphasized policy enforcement on reimbursement windows for respite care and changed its policy on what kinds of care providers can give vaccines to hospice patients. Respite care, when in-home caregivers are essentially given a short break from their duty, can only be billed to Medicare in […]
Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) recently released an update to its Medicare Claims Processing Manual that provides clarifying information and corrections to reporting requirements for hospice providers in skilled nursing facilities. The January 31, 2014 update replaces a July 2013 manual update specifying the collection of additional data on hospice claims under […]
Both local and national home health care trade associations have voiced their approval of the recent announcement from the Centers for Medicare & Medicaid Services (CMS) that prevents the enrollment of new providers in the Medicare program for select cities. Last week, CMS announced its temporary moratoria on the enrollment of new home health agencies. […]
Following in the footsteps of its initial home health moratorium last year, the Centers for Medicare & Medicaid Services (CMS) will now bar new agencies from enrolling in four additional U.S. metros. CMS today announced a new temporary moratoria on the enrollment of home health agencies in Fort Lauderdale, Detroit, Dallas and Houston, as well […]
The home health industry experienced billion dollar growth in 2012, despite low national health spending overall, according to a recent report from the Centers for Medicare & Medicaid Services (CMS). While national health spending slowed for the fourth consecutive year at an annual rate of 3.7% in 2012, home health spending growth accelerated 5.1% to […]
The Affordable Care Act appears to be having an impact on lowering the number of costly hospital readmissions, as reforms under the law have helped drive down the 30-day readmission rate by as much as 18% in 2013, according to data released this week by the Centers for Medicare & Medicaid Services (CMS). During the […]
The Centers for Medicare & Medicaid Services (CMS) on Friday tweaked a rule that will result in $200 million less paid to home health agencies in 2014. The rule for calendar year 2014 cuts Medicare payments under the Home Health Prospective Payment System (HH PPS) by 1.05%, which is slightly lower than the 1.5% outlined […]
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 […]
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 […]
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 […]
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