CMS Proposes Payment Rates, Policies for New Home Infusion Therapy Benefit

The Centers for Medicare & Medicaid Services (CMS) issued its proposed home health rate update rule on Monday, July 11, 2019. In addition, to updates for calendar year (CY) 2020 payment rates for home health agencies, CMS provided more detail on the implementation of the new home infusion therapy supplier benefit when it becomes a…

CMS Finalizes Changes to the Appeals Regulations

On May 7, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that that fine-tunes several of the regulations governing the Medicare appeals process. CMS finalized all the provisions in the rule as proposed. Removal of Requirement That Appellants Sign Appeal Requests CMS finalized its proposal to allow appellants in Medicare…

Rural Access to Hospice Act Reintroduced in Senate, House

GO HERE to protect rural access to hospice! U.S. Senators Jeanne Shaheen (D-NH) and Shelley Moore Capito (R-WV), and U.S. Representatives Ron Kind (D-WI) and Jackie Walorski (R-IN)  have introduced the Rural Access to Hospice Act of 2019 (S. 1190/H.R.2594), bipartisan/bicameral legislation to improve seniors’ access to hospice care in rural America. Under current law,…

Using Machines to Detect Medicare Fraud

In a development that could have significant impact across the health care spectrum, researchers at Florida Atlantic University are using a form of advanced pattern matching to teach “machines” to detect Medicare fraud, according to a new study in Health Information Science and Systems. Currently, human beings investigate and audit Medicare claims to find certain…