CMS Announces Innovation Model for Rural Health Care

The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced a new model of health care delivery designed to increase access and quality of care to rural beneficiaries, while increasing rural provider’s financial sustainability. The Community Health Access and Rural Transformation (CHART) Model provides funding, regulatory and operational flexibilities, and technical assistance for…

Get Informed & Inspired at the 2020 Home Care and Hospice Conference & Expo

The first virtual Home Care and Hospice Conference and Expo, October 19-21, will bring together thousands of home care and hospice professionals to learn, teach, and engage with fellow industry leaders around the country. Expect the same world-class content you’ve come to know and trust from this annual event, but beamed directly into your home or…

Quality Reporting Program Tip Sheets and Training and Education Resources

The Centers for Medicare & Medicaid Services (CMS) has announced that the COVID-19 PR Tip Sheets are now available for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP). The purpose of the tip sheets is to help providers understand the Centers for Medicare & Medicaid Services’ (CMS) public…

FY2021 Hospice Medicare and Medicaid Base Rates – At a Glance

Beginning October 1, 2020, hospice base payment rates will increase by 2.4 percent, as published in the final FY2021 Hospice Payment Rule.  As is customary, the Medicaid program waits until Medicare rates are finalized to issue guidance on the applicable corresponding hospice payment rates.  The Medicaid Financial Management Group recently issued a memorandum containing the…

Medicare Contractors Were Not Consistent In How They Reviewed Extrapolated Overpayments

The Office of Inspector General (OIG) of the Department of Health and Human Services conducted an audit to determine whether the Centers for Medicare & Medicaid Services (CMS) ensured that MACs and QICs reviewed appealed extrapolated overpayments consistently and in a manner that conforms with existing CMS requirements. The OIG concluded that the MACs and…

CMS Proposes Definition of Reasonable and Necessary

A definition of “reasonable and necessary” was part of the recently proposed rule, Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of ‘‘Reasonable and Necessary’’.  This proposed rule would also establish a Medicare coverage pathway to provide Medicare beneficiaries nationwide with faster access to new, innovative medical devices designated as breakthrough by the Food…

CMS Clarifies Hospice Election Statement and Election Statement Addendum

NAHC Hospice Webinar Series: Modified Hospice Election Statement and NEW Election Statement Addendum – Part I New hospice webinar series begins Wednesday, September 16, 2020 from 2:00 to 3:30 PM Eastern. REGISTER NOW! The Centers for Medicare & Medicaid Services (CMS) finalized in the Fiscal Year (FY) 2020 Hospice Wage Index and Payment Rate Update…

New Dept of Labor Rule Leaves Home Care Unclear on Leave Exemption

On late Friday, the U.S. Department of Labor issued a “Temporary Rule” in response to an August 3, 2020 decision of a federal court in New York that invalidated the department’s earlier rulemaking. While there remains a legal issue as to whether the court’s ruling is limited to New York, DOL chose to issue a…

Hospice Quality Reporting Program Revisions Proposed

The Centers for Medicare & Medicaid Services (CMS) is planning to revise the Hospice Quality Reporting Program (HQRP) measures and the Hospice Item Set (HIS) to remove Section O from the HIS and replace the Hospice Visits When Death is Imminent measure with a Hospice Visits in the Last Days of Life measure. Section O…

New NAHC Webinar: Home Care Industry Update

The National Association for Home Care & Hospice (NAHC) has partnered with Littler Mendelson to provide a webinar series to assist home health and home care providers to navigate through the complex and seemingly ever-changing legal landscape brought about by the COVID-19 pandemic. On September 15, please join industry experts Angelo Spinola and Will Vail for…