CMS Open Door Forum: Updates on PDGM, Claims Processing Issues, Quality & More

On February 26, the Centers for Medicare & Medicaid Services (CMS) held its monthly Home Health, Hospice and DME Open Door Forum (ODF).  Following are updates related to the home health agency portion of the call. PDGM CMS reviewed two MedLearn (MLN) Matters articles recently issued that provide information and education on the Patient Driven…

New CMS Open Door Forum Tomorrow to Focus on Hospice Proposed Rule, Home Health CAHPS and Much More

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, May 15, 2019 from 2:00 PM to 3:00 PM Eastern Time, and it will focus on a wide variety of topics, including the hospice proposed final rule, quality reporting, CAHPS, and more. Please note that the agenda is subject to change…

Home Health Quality Reporting Program Update

Home Health Quality Reporting Program Update Updated OASIS-D Q&A Document An updated question and answer (Q&A) document containing responses to questions from CMS OASIS-D trainings is now available.  The Q&A document was originally posted on December 4, 2018 but did not contain answers to questions that required additional research.  Those answers have now been updated. …

Home Health CAHPS Participation Exemption Request Deadline

  Medicare-certified home health agencies that served 59 or fewer unduplicated patients between April 1, 2017 and March 31, 2018 who met the Home Health CAHPS (HHCAHPS) survey eligibility criteria can complete a Participation Exemption Request (PER).  The exemption is for the CY2020 annual payment update (APU).  The participation exemption is good for one year…

Summary of CMS Forum on PDGM, RCD & Much More

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum (ODF) yesterday afternoon.  Topics included Patient Driven Groupings Model (PDGM) Review Choice Demonstration Home Health Quality Reporting Program Home Health CAHPS Survey Hospice Quality Reporting Program Hospice CAHPS Survey Change Request (CR) 11049 A summary of the…

Home Health Agency Reminders

New Claim Completion Instructions As reported in the December 5, 2018 edition of NAHC Report, home health agencies will have to include value code 85 and the FIPS county code on all home health claims beginning January 1, 2019.  The Medicare Administrative Contractor (MAC) will apply the rural add if the FIPS State and County…

CMS Proposes Changes to HHVBP Model

The Centers for Medicare & Medicaid Services (CMS) issued its proposed home health rule on Monday, July 2, 2018. The rule contains payment rate updates for home health agencies for calendar year (CY) 2019 and a proposal for a revised payment model, Patient Directed Grouping Model, effective in CY 2020. In addition to payment updates,…

CMS Open Door Forum Summary

Home Health Regulatory and Hospice Quality Updates take Center Stage On Wednesday, November 15, 2017, the Centers for Medicare & Medicaid (CMS) held a regular Open Door Forum to present the latest updates on home health and hospice regulatory issues. Following are summaries of issues presented: HOME HEALTH UPDATES Home Health Prospective Payment System (HH…