There’s a lot of confusion within the home health industry regarding Medicare sequestration right now. That’s understandable, considering there have been multiple inaccurate reports about where a continued delay actually stands. To recap, Medicare sequestration is a federal savings mechanism required by the Budget Control Act, which was signed into law in August 2011 with […]
The U.S. Centers for Medicare & Medicaid Services (CMS) announced last month that Home Health Compare — its consumer-facing database of home health provider quality information — will soon be incorporated with seven other Compare sites to create a larger tool named “Medicare Care Compare.” The goal is to consolidate and make the Compare tool […]
From the monumental Patient-Driven Groupings Model (PDGM) and the unexpected pre-payment phaseout to the expanding Review Choice Demonstration (RCD), 2019 was a whirlwind year for the home health industry. Those three regulatory hurdles — and other changes — likely set up an even more chaotic year in 2020. Home health industry insiders and top executives […]
With just five full months to go before the Patient-Driven Groupings Model (PDGM) becomes a reality, home health providers have reached crunch time. As it has been all along, the assumption-based behavioral adjustment baked into PDGM remains the home health industry’s No. 1 issue. Orginally, the behavioral adjustment was estimated to create a 6.42% payment […]
The Review Choice Demonstration (RCD) for Illinois home health agencies started on Saturday, with more than three-quarters of providers taking the pre-claim review route. For the most part, affected agencies have expressed confidence moving forward under RCD, an initiative from the Centers for Medicare & Medicaid Services (CMS) meant to curb improper billing. The bigger […]
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