Expanded Home Health Value-Based Purchasing (HHVBP) Model HHVBP Newsletter – January 2023

The HHVBP Newsletter provides home health agencies (HHAs) with the latest information about the expanded HHVBP Model as well as important tools, news, and timely insights from the Centers for Medicare & Medicaid Services (CMS) and the HHVBP Model Technical Assistance (TA) Team. Please consider sharing this newsletter within your organization. Information in this edition…

CMS Resources on Strengthening the Direct Service Workforce

Direct service workers provide essential supports to older adults and people with intellectual and developmental disabilities, physical disabilities, and behavioral health needs.  The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the release of an online training course and a series of resources that offer strategies and information on self-direction, strengthening the…

Hospice Survey Process Revised

The long-awaited revised hospice survey process is now available via a recent Quality, Safety & Oversight (QSO) Group memo, QSO-23-08-HOSPICE. The memo updates Appendix M of the Centers for Medicare & Medicaid Services (CMS) State Operations Manual which lays out the hospice survey process and the interpretive guidelines surveyors use to assess a hospice’s compliance…

Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your…

Physicians Practicing with an MBBS Degree

The National Association for Home Care & Hospice (NAHC) has increasingly been receiving questions regarding whether a practitioner with an MBBS credential is permitted to certify and order services for home health patients. It was noted that many of these practitioners have an enrollment record in the Provider Enrollment, Chain, and Ownership System (PECOS). NAHC…

January Care Compare Refresh and Tip Sheet

The January 2023 quarterly refresh for the Home Health Quality Reporting Program is available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. CMS issued a third HH QRP COVID-19 Public Reporting Tip Sheet to addresses the impact the public health…

Reminder: Home Health Telehealth G-Codes

This month home health agencies can begin voluntarily reporting the three new codes for telehealth services that were finalized as part of the CY 2023 Home Health Proposed Payment System final rule.  Reporting becomes mandatory July 1, 2023. Since there is not a payment tied to the new codes, agencies may be asking what the…

Register for HIPAA Administrative Simplification Proposed Rule Call on January 25

The Centers for Medicare & Medicaid Services (CMS) National Standards Group (NSG) invites you to register for a call about the Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard proposed rule that was released on December 21. The call will be held on Wednesday,…

National Hospice Leaders Urge CMS and Congress to Advance Program Integrity in Hospice Care through Effective Oversight

The four national hospice provider organizations: the National Association for Home Care & Hospice (NAHC), LeadingAge, the National Hospice and Palliative Care Organization (NHPCO), and the National Partnership for Healthcare and Hospice Innovation (NPHI), provided the Centers for Medicare and Medicaid Services (CMS) and key Congressional stakeholders with recommended legislative and regulatory changes to strengthen hospice program integrity. The recent entry of…

CMS Proposes Electronic Standards for Clinical, Admin Data

The Department of Health and Human Services (HHS) has issued a proposed rule titled Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard The rule would adopt a set of standards for the electronic exchange of clinical and administrative data to support…