CMS Proposes Cost Report Changes for Freestanding Home Health Providers

On April 16, 2019, the Centers for Medicare & Medicaid Services (CMS) published notice in the Federal Register of plans to revise the existing home health freestanding cost reporting instructions and forms (1728-94) with revised forms and instructions (1728-19).  CMS has also posted online several documents related to the proposed cost report revisions, including the…

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…

Legislation to Test New Health Care Delivery Models Introduced in Senate

A bill to allow state and local governments, accountable care organizations (ACOs), and other entities to test alternative designs of  health care coverage for people with advanced illnesses has been introduced in the Senate by Senator Sheldon Whitehouse (D-RI). The Removing Barriers to Person-and Family-Centered Care Act (S.829) would, in addition to supporting local efforts to…

Important Home Health and Hospice News in Latest CMS Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice & DME Open Door Forum (ODF) on April 3, 2019. Below is a summary of the ODF topics pertaining to home health and hospice. Home Health REVIEW CHOICE DEMONSTRATION CMS representatives indicated that the start date for the Review Choice Demonstration (RCD)…

Home Health and Hospice Advocates Gather for March on Washington 2019

Home health and hospice leaders from Maine to Hawaii gathered in our nation’s capital for the annual March on Washington and a lively and informative discussion of the top policy issues facing the community today and the days ahead. Leaders from the Forum of State Associations heard presentations from the Centers for Medicare & Medicaid…

CMS Answers Questions on Provisional Enhanced Oversight of New Home Health Agencies

The National Association for Home Care & Hospice (NAHC) has received clarification on several areas related to MLN Matters® article SE 19005, which describes a period of provisional enhanced oversight for newly enrolled home health agencies (HHAs). The Centers for Medicare & Medicaid (CMS) recently announced that newly enrolled HHAs are subject to a period…

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. …

Register Now for the 2019 Financial Management Conference

Registration for the 2019 Financial Management Conference, the only conference designed specifically for finance professionals in home health and hospice, is now open at the FMC website, http://fmc2019.nahc.org/. The 2019 FMC, in Chicago, Illinois, from July 14-16, will feature faculty, speakers, and business leaders who have the answers and solutions your business needs to successfully…

Cost Report Submission Reminders & Updates for Home Health and Hospice Providers

The largest proportion of home health and hospice agencies utilize a calendar year fiscal year and are required by Medicare to submit their cost report by May 31. This article provides reminders of various changes that may impact the cost reporting process for these organizations. Electronic Cost Report Submission/CMS Webinar Starting last year, the Centers…

Home Health Saves Medicare Money Despite Slightly Higher Readmissions than SNFs

The cost advantages of home health care make it less expensive than skilled nursing facilities (SNFs) despite a slightly higher hospital readmission rate, according to a new study by University of Pennsylvania researchers and published last week in JAMA Internal Medicine. The study found that Medicare patients discharged to home health had a 5.6 percent…