Medicare Home Health Services Proposed Rule: RAP Phase-Out

Analysis and recommendations for home health agencies By NAHC President William A. Dombi The Centers for Medicare and Medicaid Services (CMS) has proposed that the split payments made to home health agencies under the Request for Anticipated Payment (RAP) process will end in 2021. As an interim step, no “new” HHAs will receive RAPs in…

CMS Proposes Changes to Home Health Quality Reporting Program

In the 2020 home health prospective payment system (HHPPS) rate update proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a number changes to the Home Health Quality Reporting Program (HHQRP) for calendar year (CY) 2022. CMS proposes to eliminate one measure and add two new measures. In addition, in accord with the…

Recurrent Home Health Prospective Payment System Rate Update Notice

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 10992 which instructs the contractors on the system changes necessary to implement the changes to the 2019 home health prospective payment system (HHPPS). The CR is a recurring update notification for the HHPPS rates finalized each year in the Federal Register. The…

Proposed Changes Regarding Certification, Recertification, and Remote Monitoring

The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2019 proposed home health prospective payment system (HHPPS) rule on Monday, July 2, 2018. In addition to payment updates, CMS is proposing changes regarding certifying and recertifying patient eligibility for Medicare home health services and remote monitoring under the home health benefit.…

CMS Open Door Forum Reviews CY2019 Home Health Payment Rule

The Centers for Medicare & Medicaid Services (CMS) held its most recent Home Health, Hospice and DME Open Door Forum on Wednesday, July 11.  A large majority of the call was dedicated to the 2019 proposed home health prospective payment system (HHPPS) rate update rule. Following is a summary of those provisions and other matters…

CMS Proposed Rule for Home Health “Needs More Work”

The Centers for Medicare & Medicaid Services (CMS) issued its proposed home health rule on Monday, July 2, 2018, and the National Association for Home Care & Hospice (NAHC) has been poring over the 600-page rule ever since to assess the challenges and opportunities it presents to providers and patients around the country. What follows…