CMS Updates Providers on PDGM and Quality Reporting Program

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice & DME Open Door Forum yesterday where CMS representatives provided information on the new Home Health Patient Driven Grouping Model (PDGM), the home health quality reporting program and the Hospice Quality Reporting Program.  A summary of the information shared is below. Home…

Help Wanted: Maternal Neonatal Care Procedure Writers

Have you written clinical policies and procedures in the past?  Do you like doing the research and developing a detailed roadmap for someone to complete a task? Then we have a job that fits you perfectly! Specifically, we are looking for neonatal care procedure writers who are knowledgeable about the following topics: Breastfeeding assistance, home…

Updates to Emergency Preparedness Requirements

The CMS Quality, Safety and Oversight Group (QSO) recently released a memo to state survey agency directors, Emergency Preparedness- Updates to Appendix Z of the State Operations Manual (SOM), notifying them that  emerging infectious diseases have been added to the definition of all-hazards approach, and there are new Home Health Agency (HHA) citations and clarifications…

Bill to Enable Non-Physician Practitioners to Certify Home Health Introduced in Senate

Long-time home care champions Senators Susan Collins (R-ME) and Ben Cardin (D-MD) have introduced the Home Health Care Planning Improvement Act (S. 296) in the 116th Congress. This long-standing NAHC priority legislation would enable non-physician practitioners the authority to certify home health orders under Medicare. In the past, this legislation has enjoyed strong, widespread bipartisan…

Hospice Supplemental Medical Review Contractor Activity

The Centers for Medicare and Medicaid (CMS)’ Supplemental Medical Review Contractor (SMRC), Noridian Healthcare Solutions LLC, has posted a current hospice project – General Inpatient Hospice.   CMS contracted with Noridian on February 13, 2018 to help lower improper payment rates and increase efficiencies of Medicare and Medicaid medical review. The SMRC conducts medical review of…

CMS Issues Instructions for PDGM Claims Processing

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 11081, which provides claim processing  instructions to the Medicare Administrative Contractors ( MACs) that will be necessary to process home health claims with the implementation of the Patient Driven Groupings Model (PDGM). The PDGM will assign 30-day periods of care into one of…

New Legislation to Vastly Improve PDGM Introduced in Senate

Bipartisan legislation (S. 433) has been introduced in the United States Senate to improve home health payment reforms to ensure beneficiary access to quality care services is not compromised for America’s growing senior population. Introduced by Senators Susan Collins (R-ME), John Kennedy (R-LA), Bill Cassidy (R-LA), Rand Paul (R-KY), Debbie Stabenow (D-MI), Doug Jones (D-AL) and…

NAHC Honors the Late Rep. Walter Jones, a Champion of Home Care and Hospice

Rep. Walter Jones (R-NC-3) passed away in hospice care on his 76th birthday on February 11, 2019, and the National Association for Home Care & Hospice (NAHC) mourns a good friend of the home health and hospice community, as well as its millions of patients. First elected to the North Carolina legislature in 1983 and…

Hospice Quality Reporting Program – Upcoming Deadline and Quarterly Update

CAHPS Hospice Survey Data Submission Deadline The data submission deadline for patients that passed away in July, August and September 2018 (Quarter 3 2018) is February 13, 2019. Hospices are accountable for ensuring their survey vendors have successfully submitted files by 11:59 PM Eastern Time on February 13, 2019.  If data is not submitted by this time, the…

CMS to hold Important Call on PDGM

The Medicare Learning Network (MLN), part of the Centers for Medicare and Medicaid Services (CMS), will be present a call on the home health Patient-Driven Groupings Model (PDGM) on Tuesday, February 12, 2019 from 1:30 to 3:00 PM ET. REGISTER NOW! During this call, learn about the Patient-Driven Groupings Model (PDGM) that will be implemented…