Enhancing RN Supervision of Hospice Aide Services

The Centers for Medicare & Medicaid Services (CMS) recently released an MLN Fact Sheet, Enhancing RN Supervision of Hospice Aide Services. This fact sheet contains information about frequency and documentation requirements of registered nurses’ (RN) supervisory visits. Learn how often RNs should visit patients in their homes to assess hospice aide’s quality of care and…

In Case You Missed It: The MLN Call on Medicare Part A Cost Report Online Status Tracking

An audio recording (ZIP) and transcript (PDF) are available for the July 9 Medicare Learning Network call on Medicare Part A Cost Report: New Online Status Tracking Feature. Learn about updates to the Medicare Cost Report e-Filing (MCReF) system that allow tracking from submission through finalization. Medicare Part A providers: Learn about updates to the Medicare Cost Report e-Filing (MCReF) system…

Update on Required Patient Assessment Information for Home Health Claims

A new Medicare Learning Networks article, posted on March 10, reminds home health agency providers (HHAs) what steps need to be taken to ensure claims match the corresponding OASIS assessment, so the claims may be processed and paid. At the beginning of 2020, home health agencies were experiencing issues with the iQIES (Internet Quality Improvement…

CMS Releases Safeguards for Medicare Patients in Hospice Care

The Centers for Medicare & Medicaid Services (CMS) recently posted a MLN Hospice Fact Sheet, Safeguards for Medicare Patients in Hospice Care, in response to two reports on hospice care by the Health and Human Services (HHS) Office of the Inspector General (OIG). (See previous coverage of these reports here and here.) The fact sheet…

MAC Listening Sessions – Your Opportunity to Provide Feedback

The Centers for Medicare & Medicaid Services (CMS) is holding listening sessions to gather feedback and improve experience with the Medicare Fee-For-Service (FFS) program. This is your opportunity to provide feedback on your MAC – Medicare Administrative Contractor. For home health and hospice there are three MACs: Palmetto GBA, CGS, and NGS. Medicare Learning Network…

CMS Provides Compliance Tip Sheet for Home Health Agencies and Physicians

The Centers for Medicare & Medicaid Services (CMS) recently released a MLN Fact Sheet, Provider Compliance Tips for Home Health Services (Part A Non-DRG). According to CMS, “Insufficient documentation accounted for a large proportion of improper payments for home health services. The primary reason for these errors was that the documentation to support the certification…

CMS Releases Info on New Home Infusion Therapy Benefit

A MLN SE article regarding the new Home Infusion Therapy (HIT) Benefit under Medicare Part B was recently released.  MLN SE19029 Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment is intended for entities seeking accreditation to become qualified suppliers that furnish HIT services in coordination with the furnishing of…

CMS Issues 2 New Articles on PDGM

There are two new MLN articles pertaining to the Patient Driven Grouping Model (PDGM). MLN SE 19027 Overview of the Patient Driven Groupings Model is intended for physicians who order home health services. This article includes eligibility criteria for Medicare home health services as well as some information on certification in addition to PDGM. The…

CMS Issues Clarification on Billing and Payment

The MLN Matters article, SE17027 – Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device, has been revised with additional billing information for home health agencies. Specifically, the article was updated to clarify the description for coding the TOT UNIT/COV UNIT field on Type of Bill 34X on…

CMS to hold Important Call on PDGM

The Medicare Learning Network (MLN), part of the Centers for Medicare and Medicaid Services (CMS), will be present a call on the home health Patient-Driven Groupings Model (PDGM) on Tuesday, February 12, 2019 from 1:30 to 3:00 PM ET. REGISTER NOW! During this call, learn about the Patient-Driven Groupings Model (PDGM) that will be implemented…