Medicare reimbursement cuts meant to keep home health payments levels during the transition to a patient-based payment system have actually resulted in significant revenue decreases for the providers,...
Unnecessary hospitalizations are costly and are often predictors of even more expensive readmissions. So many value-based contracts push for creative solutions that keep patients out of the hospital...
A final rule released last week will increase Medicare payments to home health agencies by about 1.3 percent, or $250 million, in calendar year (CY) 2020 and establish a permanent home infusion therapy...
CMS is considering a number of changes to the home health prospective payment system (PPS) in CY 2020 and 2021, including making the home infusion benefit permanent and further implementing a new...
A new final rule from CMS prohibits states from paying a portion of Medicaid payments for providers to third parties, including unions for home health workers.
Released May 2, the Medicaid Provider...
CMS recently finalized a new value-based payment system for home health agencies that would move Medicare reimbursement away from the volume of therapy delivered.
Medicare will start to reimburse home...
CMS recently proposed a rule that would implement the Patient-Driven Groupings Model for Medicare home health payments by 2020.
The rule would eliminate the current Medicare reimbursement system for...
Faced with the pressure to reduce healthcare costs as the elderly population rapidly grows, providers plan to shift elder care from hospitals and skilled nursing facilities to the home, healthcare...
In an effort to reduce Medicare fraud, CMS announced in a new rule that it will extend a moratorium on enrollment of new Medicare home health agencies in Florida, Illinois, Michigan, and Texas. The...
CMS recently scrapped the proposed Home Health Groupings Model. The model would have used clinical and patient characteristics rather than the current therapy service use thresholds to determine...
WASHINGTON DC - The move to integrated care models that treat the whole individual, not just his medical needs, rests on payer and provider collaboration as well as linking healthcare and lifestyle,...
CMS recently released a final rule that will reduce Medicare reimbursement to home health providers by $130 million, or 0.7 percent, in 2017. Lower Medicare spending on home health services will stem...
The Medicare Payment Advisory Commission (MedPac) is advising CMS to deepen proposed Medicare reimbursement cuts to home health advisors to better align with actual costs and compensate for systematic...
The American Hospital Association (AHA) is urging CMS to delay outlier provisions and streamline certain medical billing procedures proposed in a recent document aimed at home health facilities.
In...
By 2017, home health agencies could see a 1.0 percent, or $180 million, reduction in reimbursements due to a proposed rule from the Centers for Medicare and Medicaid Services (CMS) that mandates Medicare...
In efforts to combat Medicare fraud and provide more timely care to beneficiaries, the Centers for Medicare and Medicaid Services (CMS) has issued a rule that requires some home health agencies to...
A CMS proposal to require a prior authorization screening for every home health service would be an administrative nightmare and may produce barriers to care for needy patients, a group of 116 lawmakers...
The new HH PPS for 2015 has a greater focus on efficiency, flexibility, payment accuracy and improved quality.
The Centers for Medicare and Medicaid Services (CMS) announced this week that it has made...
