Vaccination Expectations for Surveyors

The Centers for Medicare & Medicaid Services (CMS) recently updated its vaccination expectations for surveyors.  In January of this year CMS issued a memo (QSO-22-10-ALL) requiring state agency surveyors and accrediting organization (AO) surveyors performing deemed status surveys to not participate in onsite surveys unless fully vaccinated (unless vaccination is medically contraindicated or the individual…

What About Private Duty/Homecare Services and Fraud?

Written by Elizabeth E. Hogue, Esq. and presented here with the authors permission. There seems to be a myth among providers of private duty or homecare services that the federal anti-kickback statute applies to Medicare certified providers only. On the contrary, the anti-kickback statute applies to providers who receive funds from any state or federal healthcare program;…

ATTENTION Hospices! CMS Recruiting Additional Hospices for HOPE Beta Testing

As hospices should already be aware, the Centers for Medicare & Medicaid Services (CMS) and Abt Associates are currently beta testing a draft standardized hospice patient assessment instrument called Hospice Outcomes & Patient Evaluation (HOPE).  Additional hospice providers are needed to complete the testing. Hospices must be Medicare-certified and training for this round of hospices…

Home Care & Hospice News Review

Read on for NAHC Report’s regular round-up of important home care, home health, and hospice stories from around the country. If there is a story you would like to share with your fellow home care and hospice professionals, please send it tom@nahc.org. ‘The Stability of Home Health Care Is at Risk’: CMS Proposes 4.2% Decrease to…

FMC 2022 is for Thought Leaders and Innovators – People Like You!

“FMC is my favorite conference I attend all year. The NAHC staff does a fantastic job of running the 2.5-day program and the quality of the home health and hospice sessions are terrific. I would highly recommend any home health or hospice financial manager to attend this event! And the locations of the events are…

Update to ‘J’ Drug Code List for Billing Home Infusion Therapy Services

(Before we get to the story, please note that NAHC will hold a critically important webinar, What the CY2023 Home Health Proposed Payment Rule Means for Your Agency. “The stability of home health care is at risk,” said NAHC President William A. Dombi, in reaction to the release of the CY2023 home health proposed payment update rule. “What…

Medicare Trustees Warn of Long-term Financing Problems

The recently-released Medicare trustees annual report on the state of the Medicare program currently projects sufficient funds into 2028, two years longer than last year’s estimate. At that point revenues would be able to cover 90 percent of Medicare outlays. The Medicare Part A program is funded by the Hospital Insurance (HI) trust fund, by way of…

Webinar: What the CY2023 Home Health Proposed Payment Rule Means for Your Agency

Thursday, June 23, 2022 2:00-3:00pm Eastern Register Sponsored by MatrixCare by ResMed “The stability of home health care is at risk,” said NAHC President William A. Dombi, in reaction to the release of the CY2023 home health proposed payment update rule. “What we see in the proposed rule is the equivalent of a declaration of war…

CMS Revises Instructions to Claim Edit for Hospice Transfers

As previously reported, in July 2022 a claims processing edit to prevent gap billing between hospice transfers will be implemented. A gap is most likely to occur in situations where a patient requests to transfer to a hospice that is outside of the geographic service area and requires some time of travel. The Centers for Medicare…

Free Webinar on Forthcoming CMS Pilot to Test Transmission of Hospice Election Data to Part D Plans

The National Association for Home Care & Hospice (NAHC) and other stakeholder groups have been working with the National Council of Prescription Drug Plans (NCPDP) to improve coordination between hospice providers and Part D plans to ensure appropriate coverage for prescription drugs while patients are on hospice service. A key issue believed to play a…