Much attention has been focused on what will happen in the nation’s capital after Donald Trump is sworn in as President in January, but Congress currently is in session and still could act on an important piece of home health legislation. With this in mind, a coalition of home health providers is ratcheting up its […]
A leading critic of a wildly unpopular home health regulation may soon be in a position to get rid of it entirely, as the Secretary of the Department of Health and Human Services (HHS). In late September, Rep. Tom Price (R-GA) introduced a bill to hit pause on the Pre-Claim Review (PCR) demonstration; PCR had […]
As Illinois home health agencies have grappled with numerous challenges imposed by the Medicare Pre-Claim Review (PCR) demonstration, making sure home health can work hand-in-hand with physicians has emerged as an acutely important issue. Under the PCR demonstration, agencies must submit claim documentation to a Medicare administrative contractor (MAC) for audit; affirmed claims may be submitted […]
In light of the decision by the Centers for Medicare & Medicaid Services (CMS) to delay the implementation of the Pre-Claim Review Demonstration in Florida, Texas, Massachusetts and Michigan, home health providers in Illinois say they are reeling as the program is still underway there. Agencies have spoken out about high denial rates on their claims […]
Amid reports that the rollout of the Pre-Claim Review Demonstration in Illinois led to a “complete mess,” the Centers for Medicare & Medicaid Services (CMS) will delay the start date in Florida by at least 30 days, the agency has announced. The decision comes as industry groups, home health care companies and two U.S. Senators […]
A national, nonprofit organization that promotes, advances and supports mission-driven providers of community-based health care has revealed the specific home health and hospice legislation it will focus on and which causes it will seek to advance on Capitol Hill in the coming months. The Visiting Nurse Association of America (VNAA), based in Arlington, Virginia, outlined two […]
Home health providers and associations were quick to denounce a preauthorization requirement after the Centers for Medicare & Medicaid Services (CMS) revealed it will move forward with its formerly announced plans. Across the board, industry officials expressed disappointment and concern with the CMS plans for prior authorization, now deemed the Pre-Claim Review Demonstration for Home […]
Amedisys Welcomes Three New Board Members Amedisys Inc. (NASDAQ: AMED) appointed three new members to its Board of Directors: Jeffrey Rideout, M.C., M.A., FACP; Julie Klapstein; and Richard A. Lechleiter. The new appointees’ positions became effective April 20. Rideout is currently president and CEO of the Integrated Healthcare Association, a statewide multi-stakeholder group in California […]
This week on Home Health Care News, readers tuned in to learn what the Centers for Medicare & Medicaid Services (CMS) is doing to crack down on fraud. They also discovered how value-based purchasing and new quality measures are ushering in a new era in the home health industry, and read about a new partnership […]
With value-based purchasing (VBP) programs underway and new quality measures being considered, the home health industry is entering a new era, according to advisors from the Visiting Nurse Associations of America (VNAA). As performance continues to be tied to reimbursements and financial incentives, home health agencies that are proactive about their quality improvement plans and […]
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