MedPAC Advances Hospice Cap Reforms, FY2021 Payment Recommendations

Initial Findings on Impact of Post-Acute Transfer Policy on Hospice Care On December 5 and 6, the Medicare Payment Advisory Commission (MedPAC) held a public meeting at which members discussed recommendations under consideration for inclusion in its annual MedPAC Report to Congress that is usually released in March.  MedPAC will finalize its recommendations at a…

REMINDER: Time is Running Out to Access iQIES

Home health agencies (HHAs) are reminded to obtain access to the Quality Improvement and Evaluation System (iQIES) by December 23. Failure to so will prevent submission of Outcome and Assessment Information Set (OASIS) data, impacting the agency’s ability to comply with quality reporting requirements and the need for claims matching after January 1, 2020. Claims…

NAHC Has All the Info You Need on how PDGM will Impact Physicians

The National Association for Home Care & Hospice (NAHC) will present a new educational webinar for home health professionals, A Guide to the NAHC PDGM Physician Toolkit, on Wednesday, December 11, 2019 from 3:30 to 4:00 PM Eastern Time. This webinar is free to members and non-members alike! REGISTER NOW! NAHC has developed a suite…

Home Health Spending Hits a New High, Growth Robust

Home health spending in the United exceeded $102 billion in 2018, a new high, according to the Office of the Actuary of the Centers for Medicare & Medicaid Services (CMS) in figures published yesterday in Health Affairs. Total U.S. health care spending was approximately $3.65 trillion in 2018. That means home health care spending accounted…

Home Health Quality Reporting Program Updates

OASIS Considerations for Medicare PDGM Patients The Centers for Medicare & Medicaid Services (CMS) has posted resource, OASIS Considerations for Medicare PDGM Patients, to assist agencies with OASIS considerations during the PPS-to-Patient Driven Groupings Model (PDGM) transition. This document provides guidance to providers on how to correctly complete the M0090 Date Assessment Completed for patients starts…

New Standards for Handling Hazardous Drugs in Health Care Settings

Effective December 1, 2019, all health care providers are required to follow standards for the safe handling of hazardous drugs (HDs). The U.S. Pharmacopeia (USP) chapter 800 is set of standards for handling of hazardous drugs (HDs) where there is a risk of exposure to patients, healthcare workers, and the environment. USP General Chapter 800…

Appeals Demonstration Expanded to Home Health and Hospice

On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further engagement between Durable Medical Equipment (DME) suppliers and the DME QIC would improve the understanding of the cause of appeal denials and, over time, result in more proper…

Hospice Quality Reporting Program Update

HOSPICE ITEM SET (HIS) AND HOPE INSTRUMENT Recruitment Announcement – Alpha Test for the Hospice Outcomes & Patient Evaluation (HOPE) assessment instrument Abt Associates is currently recruiting hospice providers to participate in a field test (called an alpha test) of the new hospice patient assessment instrument, titled Hospice Outcomes & Patient Evaluation (HOPE). Data collection…

Home Health and Hospice Entities Assigned to Livanta BFCC-QIO: Have You Submitted Your MOA?

NAHC Report reported in May that, effective June 8, 2019, the Centers for Medicare & Medicaid Services (CMS) restructured the BFCC-QIO coverage and created 10 Regions across the United States.  KEPRO is now  responsible for Regions 1, 4, 6, 8, and 10 and Livanta is now responsible for Regions 2, 3, 5, 7, and 9.…

Make Sure You Get Paid on January 1, 2020

The Centers for Medicare & Medicaid Services sent out a new notice today, reminding providers to make the switch to Medicare Beneficiary Identifiers (MBI) with their patients. The 21 month transition period will end on December 31; use MBI now. According to CMS, providers are currently submitting 86% of claims with MBIs. Get MBIs from…