LTC Financing Proposal Prioritizes Home Care

Providing long-term care services to older Americans in community- and home-baed settings could be part of a solution to one of the industry’s greatest challenges, a newly-released finance reform report recommends. A major part of the recommendations includes putting an end to institutional care as the go-to solution. The Long-Term Care Financing Collaborative (LTCFC), a group […]

Little Growth in Number of Home Health Agencies

As the population of American seniors continues to grow, so does the need for long-term care services, but the number of home health increased only slightly between 2012 and 2014. About 12,400 agencies were operational as of 2014, up from 12,200 two years prior, according to a newly released report from the Centers for Disease […]

Editor’s Picks: CMS Prior Authorization Proposal

This week, Home Health Care News readers wanted to know about the Centers for Medicare & Medicaid Services’ (CMS) new proposal that would require preauthorization before seeing patients. Readers were also into a new $5 million investment from Kaiser Permanente Ventures to in-home care startup Hometeam. We also shared with our dear readers how one […]

New Code Allows Home Health Claims Without Skilled Services

A new condition code will allow home health claims for subsequent episodes to process even when skilled nursing services aren’t involved, according to the Centers for Medicare & Medicaid Services (CMS). Currently, home health claims submitted without skilled nursing visits are automatically returned to the provider, as are claims that are the first in a […]

CMS Finalizes Shorter Risk Period for Overpayments

Home health providers may be breathing a sigh of relief after a final rule reduced the number of years providers are required to repay Medicare overpayments. The Centers for Medicare & Medicaid Services (CMS) has released its final overpayment rule, requiring that improper payments from the last six years are reported and returned for health […]

CMS Floats Home Health Prior Authorization Requirement

The home health industry could be bracing for another measure to combat fraud and abuse in a proposed pilot that would require preauthorization before seeing patients. The Centers for Medicare & Medicaid Services (CMS) quietly announced it is seeking approval for a Medicare Probable Fraud Measurement Pilot in five states. “The probably fraud measurement pilot would […]

New Bill Could Expand Home Health Telemedicine

A bipartisan bill that would expand telemedicine services and remote patient monitoring (RPM) through Medicare is making headway in Congress with a projected cost savings of $1.8 billion over the next decade. The legislation could also help cut down the 7.88 billion miles home care workers traveled in 2013 for patient visits. With the goal […]

Editor’s Picks: Medicaid Face-to-Face Rule

It’s been a long time coming, but this week our readers were treated to the latest news on the final face-to-face rule from the Centers for Medicare & Medicaid Services (CMS). While the rule was the hot topic of the week, we also gave our dear readers the 4-1-1 on a penalty brought against an […]

Home Health Reduces Hospital Readmission Risk by 30%

People who use home health care in New Jersey following their hospital stays are less likely to be readmitted, saving the state’s health care system millions of dollars, according to a new study released by the Home Care and Hospice Association of New Jersey. In fact, patients who receive in-home services are 30% less likely […]

Industry Greets New Face-to-Face Rule with Cautious Optimism

It seems the Centers for Medicare & Medicaid Services (CMS) learned from a rocky rollout for its Medicare face-to-face rule, as it released similar regulations with several key distinctions last week for home care services covered by Medicaid. “We’re very appreciative of the Medicaid program taking the time to develop the rule so that it […]