CMS Announces Innovation Model for Rural Health Care

The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced a new model of health care delivery designed to increase access and quality of care to rural beneficiaries, while increasing rural provider’s financial sustainability. The Community Health Access and Rural Transformation (CHART) Model provides funding, regulatory and operational flexibilities, and technical assistance for…

Quality Reporting Program Tip Sheets and Training and Education Resources

The Centers for Medicare & Medicaid Services (CMS) has announced that the COVID-19 PR Tip Sheets are now available for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP). The purpose of the tip sheets is to help providers understand the Centers for Medicare & Medicaid Services’ (CMS) public…

Medicare Contractors Were Not Consistent In How They Reviewed Extrapolated Overpayments

The Office of Inspector General (OIG) of the Department of Health and Human Services conducted an audit to determine whether the Centers for Medicare & Medicaid Services (CMS) ensured that MACs and QICs reviewed appealed extrapolated overpayments consistently and in a manner that conforms with existing CMS requirements. The OIG concluded that the MACs and…

CMS Proposes Definition of Reasonable and Necessary

A definition of “reasonable and necessary” was part of the recently proposed rule, Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of ‘‘Reasonable and Necessary’’.  This proposed rule would also establish a Medicare coverage pathway to provide Medicare beneficiaries nationwide with faster access to new, innovative medical devices designated as breakthrough by the Food…

CMS Clarifies Hospice Election Statement and Election Statement Addendum

NAHC Hospice Webinar Series: Modified Hospice Election Statement and NEW Election Statement Addendum – Part I New hospice webinar series begins Wednesday, September 16, 2020 from 2:00 to 3:30 PM Eastern. REGISTER NOW! The Centers for Medicare & Medicaid Services (CMS) finalized in the Fiscal Year (FY) 2020 Hospice Wage Index and Payment Rate Update…

Hospice Quality Reporting Program Revisions Proposed

The Centers for Medicare & Medicaid Services (CMS) is planning to revise the Hospice Quality Reporting Program (HQRP) measures and the Hospice Item Set (HIS) to remove Section O from the HIS and replace the Hospice Visits When Death is Imminent measure with a Hospice Visits in the Last Days of Life measure. Section O…

Medicare Secondary Payer Questions Updated

The Centers for Medicare & Medicaid Services (CMS) released Transmittal 10342/Change Request (CR) 11945, Update to the Model Admission Questions for Providers to Ask Medicare Beneficiaries. This transmittal updates the Medicare Secondary Payer (MSP) manual with model questions providers could ask beneficiaries upon admission. As part of a Medicare provider’s basic commitment, it must agree “to…

CMS Redesigns Provider COMPARE Websites

The Centers for Medicare & Medicaid Services (CMS) launched Care Compare on September 3, a streamlined redesign of eight existing CMS healthcare compare tools available on Medicare.gov. The eight separate tools, including Hospice Compare and Home Health Compare, are now consolidated into one site — Care Compare — which provides a single user-friendly interface that patients…

Hospice Survey on Electronic Prescribing Practices – Participate Today!

Please take this quick, 2-minute survey now! The National Association for Home Care & Hospice (NAHC) is seeking input from hospice providers on their prescribing practices to assist with comments on a recent Request for Information (RFI))  issued by the Centers for Medicare & Medicaid Services (CMS). Following is some background on the survey, along…

CMS COVID-19 Billing FAQs Updated to Address Cost Report Issues for PRF, PPP

On August 26, the Centers for Medicare & Medicaid Services (CMS) issued an update on COVID-19 Frequently Asked Questions (FAQs) on Medicare Billing Issues.   This included some questions regarding cost report issues.  Following is a summary of the cost report questions that was compiled by Dave Macke, Co-Chair of NAHC’s Home Health and Hospice Financial…