Home Health Quality Has Improved, CMS Reports

When it comes to quality reporting, health care providers, including home health agencies, are performing better on process measures than clinical outcomes, the Centers for Medicare and Medicaid Services (CMS) said in a report released this week. The 2015 National Impact Assessment of the CMS Quality Measures Report assesses the quality of care delivered across […]

CMS Reveals Details of Home Health Standardized Assessments

In efforts to foster greater care coordination between various health care providers, the Centers for Medicare and Medicaid Services (CMS) revealed Wednesday new details on how it will measure the quality performance of home health care agencies through the collection of standardized data assessments. During an Open Door Forum Wednesday afternoon, CMS outlined certain standardized […]

Providers Mobilize Against Home Health Surety Bonds

Leaders in the home health care industry are urging providers to voice their opposition to recently proposed surety bonds, which one association says could have “serious negative effects” for home health businesses. The National Association for Home Care & Hospice, a nonprofit advocacy group, is leading the charge by encouraging providers to contact their elected […]

Bipartisan Legislation Supports Competitive Bidding Reform

Recently introduced bipartisan legislation would require bidders to obtain a bid bond within the  Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS).   The legislation was introduced by Representatives Tiberi (R-Ohio) and Larson (D-Conn.) and Senators Portman (R-Ohio) and Cardin (D-Md.). H.R. 284 and S. 148 would ban non-binding bids, which […]

CMS Names First Audit Contractor for Home Health, DME in 2015

Just before the close of 2014, the Centers for Medicare & Medicaid Services (CMS) awarded its first national recovery audit contract for the new year to Connecticut-based firm Connolly, LLC—the first of five to be awarded. The Region 5 contract awarded to the Connolly is national in scope and includes Medicare claims for Durable Medical […]

CMS Announces Next Phases of DME Bidding Program

The Centers for Medicare & Medicaid Services (CMS) has announced the next steps of its Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program, including the bidding timeline for the Round 2 re-compete and the national mail-order re-compete. As required by law, CMS made its announcements last Thursday, also launching a comprehensive […]

Medicare Reimbursements Hinder Patients’ Access to Home Health, Report Says

Most home health agencies (HHAs) and physicians report that access to home health care for Medicare fee-for-service beneficiaries is is good, however, insufficient reimbursement remains an issue in serving this vulnerable patient population, according to a new report. That is the sentiment of 1,075 Medicare-ceritfied HHAs and 510 physicians surveyed in a recent report to […]

CMS Finalizes DME Bidding Rule for 2015

The Centers for Medicare & Medicaid Services (CMS) issued its final rule late October for durable medical equipment (DME) payment adjustments. The final rule for calendar year 2015, which is largely unchanged from the proposed rule in July, clarifies certain criteria related to DME, such as methodology for expanding the CMS’ competitive bidding program to […]

3 Threats Facing the Home Health Care Industry

As the elderly population grows in the coming years, so too will the home care industry — but not without facing significant threats, industry experts say. The baby boom population will push the demand for home health care, with more than 10,000 boomers turning 65 every day. In addition to the sheer demographics, home health […]

Federal Report Presses Medicare for Stronger Anti-Fraud Reforms

While Medicare fraud isn’t specific to any one sector of healthcare, it can be a blemish on industries like home health, which ultimately suffer due to a few bad actors. However, implementing several key integrity reform measures can help strengthen federal payers like Medicare from further abusive practices, according to a recent report from the […]