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…

Review Choice Demonstration to Begin in Ohio on September 30, 2019

The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Ohio and it will begin on September 30, 2019. In the same announcement, CMS also stated it anticipates 60-90 days between beginning the demonstration in the remaining states of Texas, North Carolina and…

CMS Proposes to Require a Notice of Admission

The Centers for Medicare & Medicaid Services (CMS) is proposing to eliminate the advance, split percentage payments for all home health agencies (HHAs) in 2021. Therefore, agencies will no longer submit Requests for Anticipated Payment (RAPs) beginning January 1, 2021. The RAP submission opens a home health prospective payment system (HHPPS) episode in the CMS…

Everything You Need to Know from the Latest CMS Open Door Forum on Home Health and Hospice

The Centers for Medicare & Medicaid Services (CMS) held its Home Health, Hospice, and Durable Medical Equipment (DME) Open Door Forum earlier this week.  It was a light agenda with much of what was presented being a summary of recent CMS news which has also been covered in NAHC Report.  Below is a summary of…

CMS Open Door Forum on Home Health, Hospice, DME

The Centers for Medicare & Medicaid Services (CMS) will hold an Open Door Forum on Tuesday, July 9, 2019 from 2:00 PM to 3:00 PM Eastern Time to discuss the latest developments in home health, hospice, and durable medical equipment. Please call in at least 15 minutes before the start of the ODF. The agenda…

NAHC Submits Comments to CMS on Proposed Home Health Cost Report Changes

The National Association for Home Care & Hospice (NAHC) and the Home Health Financial Managers Association (HHFMA) submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed changes to the home health cost report (Form CMS-1728-19) and cost reporting instructions. On April 16, 2019, the CMS published notice in the Federal Register of…

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…