CMS Open Door Forum Discusses PDGM, Authority to Sanction Providers, and more

The Home Health, Hospice & Durable Medical Equipment Open Door Forum held by the Centers for Medicare and Medicaid Services (CMS) on September 18 covered a variety of issues pertaining to the home health and hospice industry, but what follows are the key issues that were presented related to home health. An article covering hospice…

New CMS Open Door Forum: Focus on PDGM, Quality Reporting Program, CAHPS, and More

The Centers for Medicare & Medicaid Services (CMS) will hold an Open Door Forum to address your home health and hospice questions on PDGM, the Home Health Quality Reporting Program (HHQRP), CAHPS for both home health and hospice, and much more. This Open Door Forum will be held on Wednesday, September 18, 2019 from 2:00…

CMS Updates Program Integrity Manual with Provider Enrollment Processing Instructions

As previously reported, a final rule with comment period regarding enhancements to the provider enrollment process was recently released.  NAHC is working to further analyze this complex rule and provide more information and education to providers as well as developing comments. The Centers for Medicare & Medicaid Services (CMS) will need to update the CMS-855…

OIG Report Recommends CMS Use CERT Data to Identify High Risk Home Health Agencies

CMS Remains Opposed to Using CERT Data to Identify Improper Payments, Prefers TPE & RCD The Health and Human Services (HHS) Office of the Inspector General (OIG) recently released a report pertaining to home health agencies (HHA), The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home…

CMS Updates Immediate Jeopardy Surveyor Instructions

As previously reported, the Centers for Medicare & Medicaid Services (CMS) released revisions to the State Operations Manual, Appendix Q – Core Guidelines for Determining Immediate Jeopardy, in March of this year.  In this release, CMS inadvertently left out language regarding referring criminal acts to law enforcement.  CMS has reinserted this language into Appendix Q…

CMS Open Door Forum Should Answer all Your New Medicare Card Questions

The Centers for Medicare & Medicaid Services (CMS) will hold a new Open Door Forum (ODF) to answer your questions about the new Medicare Cards  on Wednesday, September 11, 2019 at 2:00 PM Eastern time. This call will be Conference Call Only. Please dial-in at least 15 minutes before call start time. CMS began issuing…

CMS Issues Rule to Tighten Provider Enrollment

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule that strengthens the agency’s ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. The final rule, Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-FC), creates several new revocation and denial authorities to…

CMS Call on Supporting Dementia Patients at Home

The Centers for Medicare & Medicaid Services’ (CMS) Medicare Learning Network will hold a call from 1:30 PM to 3:00 PM Eastern Time on Tuesday, September 10, 2019 on Dementia Care: Supporting Comfort and Resident Preferences. REGISTER HERE During this call, which should be of particular interest to agencies with a significant number of dementia…

CMS: Use Medicare Beneficiary Identifier to Protect Your Patients’ Identity

The Centers for Medicare & Medicaid Services (CMS) have sent out message to providers, asking them to use the Medicare Beneficiary Identifier (MBI) as soon as possible in order to protect the privacy of their patients. Starting January 1, 2020 you must use the MBI because CMS will reject claims you submit with the Health…

CMS Acts to Support Victims of Hurricane Dorian

The Centers for Medicare & Medicaid Services (CMS) has announced efforts underway to support Florida, Georgia, and South Carolina in response to Hurricane Dorian. On August 30, Health and Human Secretary Alex Azar declared a public health emergency (PHE) in Florida. On September 2, Secretary Azar did the same for Georgia and South Carolina. CMS…