Office of Inspector General Continues Focus on Home Health Agencies

The Department of Health and Human Services (HHS), Office of the Inspector General (OIG) issues updates to its work plan on a monthly basis through out the year. Since our last report on the OIG’s recent activity updates (NAHC Report https://report.nahc.org/recently-added-oig-work-plan-item-may-impact-home-health-and-hospice-providers/), the OIG announced this month a revision of an issue for home heath agencies…

MedPAC Calls for New Payment System and Rate Cut for Home Health

·         MedPAC also questions Reporting on Patient Functional Ability The Medicare Payment Advisory Commission (MedPAC), a group of 17 commissioners created to advise Congress on Medicare issues, provided fresh insight on a possible unified payment model for post-acute care providers and called for a five percent rate cut for home health, in its June report…

Summary of Key Points in the CMS Open Door Forum on Home Health, Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice & DME Open Door Forum (ODF) on May 15, 2019.  Below is a summary of the ODF topics pertaining to home health and hospice. Hospice CMS reviewed the FY2020 Hospice Proposed Rule key points.  It was clear from the questions at the…

Review Choice Demonstration – May 16 Deadline and Project Update

As NAHC Report has previously reported, Illinois home health agencies have until this Thursday, May 16, 2019 to make their Review Choice Demonstration (RCD) choices. Providers must be enrolled in Palmetto GBA’s eServices in order to make their selection. HHAs that do not make a choice selection by May 16, 2019 will be automatically placed…

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…

Please Take this Short, but Important Survey on PDGM and Therapy Services

NAHC is initiating an evaluation of the potential impact of the new Medicare home health Patient Driven Groupings Model (PDGM) on the provision of therapy services. While PDGM is based on 2017 data that reflects the volume of therapy services provided during that year, the payment rate for therapy-oriented patient episodes will be lower than…

Policy Change for Assessment Submission Timeframe Impacts Hospice and Home Health Providers

The Centers for Medicare & Medicaid Services (CMS) announced yesterday an upcoming change in policy regarding the timeframe for submission of “assessments” that are part of the quality reporting program.  Specifically, current CMS policy for submission of patient assessment records allows providers to submit records for up to 36 months from the assessment target date. …

Transportation and Internet Barriers Limit Rural Access to Home Health

Patients in rural parts of the United States often have difficulty accessing home health care and other home-and community-based services (HCBS), according to a new study published earlier this month in the Journal of Post-Acute and Long-Term Care Medicine. The study indicates that HCBS should save money for state Medicaid agencies, but barriers, particularly in…

More Older Adults With Joint Replacements Recover At Home, Not Rehab

Judith Graham KAISER HEALTH NETWORK Older adults and their families often wonder: Where’s the best place to recover after a hip or knee replacement — at home or in a rehabilitation facility? Increasingly, the answer appears to be home if the procedure is elective, friends and family are available to help and someone doesn’t have…

Study Finds Home Health Physical Therapy Lowers Re-Hospitalization Substantially

Home Health physical therapy visits can substantially lower the risk of re-hospitalization in older adults during a 60-day period, according to a new study published in the Journal of the American Medical Directors Association (JAMDA). Re-hospitalizations are estimated to cost more than $41 billion per year, with older patients disproportionately at risk to encounter serious…