CMS Increases Medicare Payment for COVID-19 Monoclonal Antibody Infusions

New payment policy for at-home administration As part of the ongoing response to address the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has increased the Medicare payment rate for administering monoclonal antibodies to treat beneficiaries with COVID-19, continuing coverage under the Medicare Part B COVID-19 vaccine benefit. Beneficiaries pay nothing out of…

National Health Care Decisions Day

“On National Health Care Decisions Day, Medicare Advance Care Planning Rates Still Remain Too Low” Falling on April 16th of every year, National Health Care Decisions Day (NHDD) is an opportunity to encourage patients to express and document their wishes regarding health care and for providers and facilities to respect and honor those wishes, whatever…

CMS Updates Emergency Preparedness Guidance

The Centers for Medicare & Medicaid Services (CMS) recently released Updated Guidance for Emergency Preparedness-Appendix Z of the State Operations Manual (SOM), updates that incorporate the emergency preparedness (EP) revisions of the 2019 “Burden Reduction Rule”, Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CoPs) (CMS 3346-F) Final Rule…

Recovery of Accelerated Payments Began March 30

The Centers for Medicare & Medicaid Services (CMS) has notified providers and suppliers who received COVID-19 Accelerated and Advance Payments (CAAPs) that the Medicare Administrative Contractors (MACs) began recovering those payments as early as March 30, 2021, depending upon the one-year anniversary of when the first payment was received. The CAAP repayment terms provide as…

CMS Increases Medicare Payment for Life-Saving COVID-19 Vaccine

The Centers for Medicare & Medicaid Services (CMS) has ncreased the Medicare payment amount for administering the COVID-19 vaccine with a new and higher payment rate which will support important actions taken by providers designed to increase the number of vaccines they can furnish each day, including establishing new or growing existing vaccination sites, conducting…

MedPAC Recommends Reducing Medicare Payment to Home Health Agencies

Earlier this week, as expected, the Medicare Payment Advisory Commission (MedPAC) March 2021 Report to Congress recommended a five percent reduction in payments to home health agencies (HHA) for calendar year 2022. The commissioners reported that the average Medicare profit margin in 2019 for HHAs was 15 percent and predicts a 14 percent profit margin…

Act Now to Extend Moratorium of Sequestration Cuts to Medicare!

SEND A MESSAGE TO CONGRESS RIGHT NOW! TIME IS CRITICAL — PLEASE ACT RIGHT NOW! On March 31, 2021 the suspension of the 2% Medicare sequestration will expire. That means rates of payments will go down 2% beginning April 1. Congress is actively considering legislation that will extend the sequestration suspension. Home health and hospice is…

NAHC to Congress: Protect Social Security, Medicare from Spending Cuts

The National Association for Home Care & Hospice (NAHC) has joined with a group of like-minded groups in the Leadership Council of Aging Organzations (LCAO) in urging Congress to protect vital programs like Medicare and Social Security from steep and unnecessary spending cuts that could cause considerable harm to America’s elderly and disabled populations. NAHC…

NAHC Receives Clarification on CMS Policies for Home Health Agencies

The National Association for Home Care & Hospice ( NAHC) has received additional clarification on Medicare coverage policies for home health agencies. Earlier this month NAHC reported on responses from the Centers for Medicare & Medicaid Services (CMS) on several key outstanding question. In that report NAHC noted follow-up was needed on two of CMS’…

Reports: Biden to Nominate Chiquita Brooks-LaSure as CMS Admin

According to reports, President Joe Biden will select Chiquita Brooks-LaSure to be the next administrator of the Centers for Medicare & Medicaid Services (CMS), the largest component of the Department of Health & Human Services (HHS), with ten offices around the country, more than 6000 employees, and over $1 trillion in annual expenditures. CMS has…