NAHC Webinar: Regulatory Update for Home Care and Hospice

If you have ever been in attendance when NAHC President William A. Dombi is delivering his signature update on regulatory policy for home care and hospice, you know it is the most trusted and comprehensive policy briefing in the industry. Now is your chance to get the latest version of that briefing without leaving your…

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…

Attention Billers: Medicare Secondary Payer Problem With HETS

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Administrative Contractors (MACs) are aware of a problem with the HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) data received from the Common Working File (CWF).  The MACs’ eligibility systems/portals that receive MSP data from HETS may be affected by this issue. Due…

CMS Finalizes Changes to Allow Hospices to Accept Medication Orders From Certain Physician Assistants

The CY2020 Physician Fee Schedule final rule was posted last week and contains a welcome change for hospices.  The Centers for Medicare & Medicaid Services (CMS) will revise §418.106(b)(1) to permit a hospice to accept drug orders from a physician, NP (nurse practitioner), or PA (physician assistant).  The PA must be an individual acting within…

CMS Webinar to Provide Compliance Overview for Hospice

The Centers for Medicare & Medicaid Services (CMS) will host a new webinar for Medicare-certified hospice providers to provide an overview on Hospice Quality Reporting Program (HQRP) requirements. The webinar, Success with the HQRP: Putting the Pieces Together to Meet Compliance, will air on Thursday, November 14, 2019 from 2:00 to 3:00 PM ET. REGISTER…

CMS Provides Critical Updates on Home Health and Hospice in Latest Open Door Forum

On November 6, 2019 the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum (ODF) for home health, hospice, and durable medical equipment (DME) providers.  During the ODF, CMS provided the following updates for home health and hospice. Key topics include Review Choice Demonstration, PDGM billing, Transition to IQUIES, the CY2020 Home…

CMS to Allow Hospices to Accept Medication Orders From Some Physician Assistants

The CY2020 Physician Fee Schedule final rule was posted last week and contains a welcome change for hospices.  The Centers for Medicare & Medicaid Services (CMS) will revise §418.106(b)(1) to permit a hospice to accept drug orders from a physician, NP (nurse practitioner), or PA (physician assistant).  The PA must be an individual acting within…

CMS to Shutter Common Working File for Eligibility Queries Effective February 1, 2020

The Centers for Medicare & Medicaid Services (CMS) has been working over recent years to migrate queries related to benefit eligibility from the Common Working File (CWF) and to establish the HIPAA Eligibility Transaction System (HETS) as the single source for beneficiary eligibility transactions.  The National Association for Home Care & Hospice (NAHC) has been…

CMS Webinar and Open Door Forums on Key Topics this Week

How to Submit Medicare Part A Cost Reports Electronically on Tuesday Open Door Forum on Review Choice Demonstration, Quality Updates, CAHPS & More on Wednesday Submitting Your Medicare Part A Cost Report Electronically The Centers for Medicare & Medicaid Services (CMS) and the Medicare Learning Network will present a new webinar, Submitting Your Medicare Part…

CMS Clarifies CHOWs Are Subject to Provisional Enhanced Oversight

The Centers for Medicare & Medicaid Services (CMS) has issued a revision to clarify the types of agencies that are affected by the provisional enhanced oversight, noting that all initial enrollments, changes of ownership (CHOW) that fall under 42 C.F.R §489.18, and changes of information reporting a100% ownership change are subject to provisional enhanced oversight.…