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 […]

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 […]

CMS Delays DME Face-to-Face Requirement to 2014

The Centers for Medicare & Medicaid Services (CMS) has once again delayed the face-to-face requirement for durable medical equipment providers in working with Medicare patients, pushing the requirement indefinitely until more information is given in 2014.  CMS said additional concerns about the implementation time frame for the new requirements, set under the Affordable Care Act, […]

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 […]

HHS to Investigate DME Competitive Bidding Program

The U.S. Department of Health and Human Services Office of the Inspector General (OIG) announced it will investigate the Centers for Medicare & Medicaid Services’ (CMS) controversial Competitive Bidding program for durable medical equipment (DME). The OIG informed U.S. Representatives Glenn “GT” Thompson (R-PA) and Bruce Braley (D-IA) of its decision to initiate an investigation […]

CMS Posts Final Rule for 2014 Hospice Payment Rate Update

The Centers for Medicare & Medicaid Services (CMS) posted the final rule on Wednesday for the 2014 hospice wage index and payment rate update to the Federal Register. In May, CMS posted a proposed rule for the hospice wage index, seeking input from hospice providers regarding the burden the new rule could have on them. […]