MedPAC Calls for Home Health Rate Cut, NAHC Objects

MedPAC, the Medicare Payment Advisory Commission, released its annual March report to Congress on March 15, 2019.  MedPAC is required to produce this report; however, Congress is not required to act upon all the recommendations contained in the report and historically has not done so.  Chapters 9 and 12 of the Report, Home Health Recommendations…

MedPAC Opposes Episode-Based Payment for Post-Acute, For Now

On March 8, 2019 the Medicare Payment Advisory Commission (MedPAC) panel concluded that a unified payment system for post-acute care facilities should be based on each patient stay and not the entire episode of care. The discussion among commission members focused on how to create a unified prospective payment system to make Medicare fee-for-service payments…

NAHC Business Partner Members: CMS Holding Forum About Developing Medicare Fee for Service Documentation Requirement Lookup Service Prototype

The Centers for Medicare & Medicaid Services, Center for Program Integrity will host a series of SODF calls to educate the public about a new initiative underway to develop a Medicare Fee for Service (FFS) Documentation Requirement Lookup Service prototype. Also, to allow physicians, suppliers, IT and Electronic Health Record (EHR) Developers and Vendors, and/or…

CMS: Home Health Spending to Rise Faster than Other Types of Care

Health care spending in the United States is expected to rise to nearly $6 trillion by 2027, but home health spending will rise faster than all other care categories, according to a new projection from the Office of the Actuary of the Centers for Medicare & Medicaid Services (CMS). “As a result of economic and…

Bill to Enable Non-Physician Practitioners to Certify Home Health Introduced in Senate

Long-time home care champions Senators Susan Collins (R-ME) and Ben Cardin (D-MD) have introduced the Home Health Care Planning Improvement Act (S. 296) in the 116th Congress. This long-standing NAHC priority legislation would enable non-physician practitioners the authority to certify home health orders under Medicare. In the past, this legislation has enjoyed strong, widespread bipartisan…

Hospice Supplemental Medical Review Contractor Activity

The Centers for Medicare and Medicaid (CMS)’ Supplemental Medical Review Contractor (SMRC), Noridian Healthcare Solutions LLC, has posted a current hospice project – General Inpatient Hospice.   CMS contracted with Noridian on February 13, 2018 to help lower improper payment rates and increase efficiencies of Medicare and Medicaid medical review. The SMRC conducts medical review of…

Civil Money Penalties Now Applicable to Home Health Agencies

The Centers for Medicare & Medicaid Services (CMS), at NAHC’s urging,, suspended civil money penalties (CMP) that could be incurred by a home health agency during a Medicare survey until January 13, 2019.  This date recently passed making it possible for surveyors to now apply the penalties. CMS may impose a civil money penalty against…

Home Health Agency Provider Enrollment Moratoria Expires

The Centers for Medicare & Medicaid Services (CMS) posted the following on its web site announcing the expiration the Medicare Provider Enrolment Moratoria, which includes those states where a moratorium had been issued for new home health agencies (HHAs). “As of January 30, 2019, there are no active Medicare Provider Enrollment Moratoria in any State…

CMS to Hold Open Door Forum on the New Medicare Cards

  The Centers for Medicare & Medicaid Services (CMS) will hold an Open Door Forum to discuss the new Medicare cards on Wednesday, February 6, 2019 at 2:00 PM Eastern Time. As loyal NAHC Report readers know well by now, the Centers for Medicare & Medicaid Services (CMS) began issuing a new Medicare Card in April,…

Office of Inspector General Adds New Items to Home Health Work Plan

The Office of Inspector General (OIG) work planning  is dynamic and adjustments are made throughout the year to meet priorities and to anticipate and respond to emerging issues. A Work Plan was developed and is available to the public.  It is updated monthly with new issues.  In January 2019, there are two new issues of…