The long and winding saga behind the Medicare sequestration holiday for home health providers and others has come to a close. On Tuesday, the U.S. House of Representatives overwhelmingly voted by a 384-38 margin in favor of a continued sequestration delay. The legislation was one of two measures introduced since early March aimed at delaying […]
Phoenix Home Care
The home health industry entered the eighth month of the COVID-19 pandemic this October. While most have adapted to a “new normal,” the public health emergency — and a possible second wave — understandably remains the biggest concern for many operators across the country. As of Oct. 1, there had been more than 7 million […]
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 […]
All 50 states have started to — at least partially — reopen after shelter-in-place orders swept the nation starting in March to curb the spread of the coronavirus. As states forge ahead on their reopening plans, in-home care providers are also looking to the future. As of Thursday, 47 states have begun large-scale efforts to […]
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 […]
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 […]
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 […]
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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