In light of the decision by the Centers for Medicare & Medicaid Services (CMS) to delay the implementation of the Pre-Claim Review Demonstration in Florida, Texas, Massachusetts and Michigan, home health providers in Illinois say they are reeling as the program is still underway there. Agencies have spoken out about high denial rates on their claims […]
It’s been a big week for the home health Pre-Claim Review Demonstration. The poorly-received program made several Home Health Care News headlines, first with its delayed start in Florida, and then due to home health providers still calling for the program’s total suspension everywhere. Meanwhile, the Department of Health and Human Services Office of Inspector General […]
As home health providers are reeling in wake of new regulations, industry groups are stepping up their advocacy actions—and having some success. After a disastrous roll out of the Pre-Claim Review Demonstration from the Centers for Medicare & Medicaid Services (CMS) in Illinois, the agency announced it would delay implementation in the four other states, thanks […]
Having won a victory in their fight against the pre-claim review demonstration, home health providers and advocacy groups are calling for it to be suspended totally—while continuing to decry it as a historically bad program that threatens to drive a large number of agencies out of business. Under pre-claim review, home health agencies must submit […]
Amid reports that the rollout of the Pre-Claim Review Demonstration in Illinois led to a “complete mess,” the Centers for Medicare & Medicaid Services (CMS) will delay the start date in Florida by at least 30 days, the agency has announced. The decision comes as industry groups, home health care companies and two U.S. Senators […]
As the health care industry braces for more bundled payments, there is good news for home health agencies. As part of initiatives to reduce costs across episodes of care, home health agencies are increasingly being relied on within bundled payment models, a recently released evaluation revealed. Bundled payments, which were introduced by the Centers for Medicare […]
As new incentives and alternative payment systems continue to come into effect, home health agencies need to make sense of rumors on their impacts and understand how best to navigate the new landscape. Value based purchasing and the Pre-Claim Review Demonstration from the Centers for Medicare & Medicaid Services (CMS) are taking their hits, but […]
Recognizing and supporting the role of family caregivers may be a way home health agencies can strengthen the current concerning state of care for older adults in the United States, according to a recent report from The National Academics of Sciences, Engineering and Medicine. This should include revising Medicare to provide more reimbursement for involving family […]
Under a new final rule, home health agencies and other Medicare-certified providers will be required to meet emergency preparedness standards—or face the risk of losing national payor reimbursements. The Centers for Medicare & Medicaid Services (CMS) issued its long-awaited rule on emergency preparedness at a time when numerous natural disasters over the last few years […]
After retiring our white trousers and resting up on Labor Day, we were here to bring our readers the latest home health happenings across the industry. This week, readers were still itching for more information about the pre-claim review, after two Florida Senators wrote to the Centers for Medicare & Medicaid Services (CMS) to delay […]
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