CMS Article Provides Clarity on the Role of Therapy in PDGM

The Centers for Medicare & Medicaid Services (CMS) posted a special edition MLN Matters article, SE20005 – The Role of Therapy under the Home Health Patient-Driven Groupings Model (PDGM). This article provides information on the continuing role of therapy under the newly implemented PDGM. While there has been a change to the case-mix adjustment methodology…

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 MattersĀ® 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…

Important Current and Future Hospice Billing Changes Outlined in MLN Matters Article

During 2017 the Centers for Medicare & Medicaid Services (CMS) announced significant changes that, beginning in early 2018, allow hospice providers to electronically submit Notices of Election (NOE) and related transactions and to correct election or revocation dates without needing to cancel all transactions related to the hospice election.Ā  Most recently, CMS issued a MLN…