Home Health Agencies Still Waiting for Details After Feds Float Plans to Distribute Point-of-Care COVID-19 Tests

Although the concrete details are unknown, the federal government appears to be taking steps toward distributing point-of-care COVID-19 diagnostic tests to home health agencies, which have largely been prioritized behind skilled nursing facilities (SNFs) and other congregate aging services providers. The U.S. Department of Health and Human Services (HHS) announced on Aug. 27 that it […]

Calculating the Cost of PDGM: A Case Study with Phoenix Home Care

In the months and weeks leading up to the Patient-Driven Groupings Model (PDGM), many industry insiders predicted the downfall of small and mid-size home health providers due to the disruption of cash flow and therapy utilization, as well as the complicated new documentation and coding processes. It’s undeniable that small and mid-size agencies will feel […]

Signs Point to Non-Physician Home Health Certification Initially Happening Under Medicare Advantage

A bill that would eliminate Medicare’s physician-certification policy has drawn industry-wide support. But the Centers for Medicare & Medicaid Services (CMS) may first opt to test non-physician certification through Medicare Advantage (MA) in lieu of traditional Medicare. The Home Health Care Planning Improvement Act of 2019 — H.R. 2150 — was introduced in April. If […]

CMS’s Proposal to Eliminate RAPs, Increase PDGM’s Behavioral Adjustment ‘Death by 1,000 Cuts’

Home health operators and industry advocates are voicing their concerns following a proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate home health pre-payments and move forward with behavioral assumptions under the Patient-Driven Groupings Model (PDGM). Specifically, many worry the proposed changes will create cash flow problems for home health agencies, which […]

This Critical Combo Could ‘Blow Up’ Home Health Agency Revenue Cycles

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 […]