CMS Updates Medicare Benefit Policy Manual for Home Health Agencies

The Centers for Medicare & Medicaid (CMS) recently released Transmittal 265/Change Request (CR) 11577 Manual Updates Related to Calendar Year (CY) 2020 Home Health Payment Policy Changes, Maintenance Therapy, and Remote Patient Monitoring This CR updates the Medicare Benefit Policy Manual, (Publication 100-02), Chapter 7, to reflect policy changes finalized in the CY 2019 and…

CMS Updates Claims Processing Manual

The Centers for Medicare & Medicaid Services (CMS) has again updated Change Request (CR) 11081 – Home Health (HH) Patient-Driven Groupings Model (PDGM) – Split Implementation through Transmittal 4489. As previously reported, this CR has been updated more than once since its original publication in early 2019 (see previous NAHC Report coverage here and here).…

CMS Issues Manual Updates Related to PDGM

The Centers for Medicare and Medicaid Services (CMS) has issued Change Request (CR) 11527, which includes further updates to the Claims Processing Manual, chapter 10, related to the Patient Driven Grouper Model (PDGM). The CR clarifies that a beneficiary is not required to be discharged form home health services if an inpatient stay spans across…