CMS to Allow Hospices to Accept Medication Orders From Some Physician Assistants

The CY2020 Physician Fee Schedule final rule was posted last week and contains a welcome change for hospices.  The Centers for Medicare & Medicaid Services (CMS) will revise §418.106(b)(1) to permit a hospice to accept drug orders from a physician, NP (nurse practitioner), or PA (physician assistant).  The PA must be an individual acting within…

White House Proclamation on Immigrants Could Limit Home Care Workforce

On Friday, October 4th, President Trump issued a Proclamation outlining new guidance for the handling of immigrant visa applications. Starting November 3, 2019 the new requirement will mandate that immigrant visa applications be rejected if the government determines the immigrant in question will not be able to afford health insurance or cover the cost of their…

NAHC Comments on Role of Physician Assistants and Other Non-Physician Practitioners in Hospice

The National Association for Home Care & Hospice (NAHC) has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on a proposed amendment to Section 418.106(b)(1) of the hospice Conditions of Participation (CoPs) to permit a hospice to accept drug orders from a physician, Nurse Practitioner (NP), or Physician’s Assistant (PA). The proposed…

Long Awaited Discharge Planning Rule Posted

It has taken four years for the final rule for discharge planning for hospitals, critical access hospitals, and home health agencies to be posted.  This rule also impacts hospices as it changes the requirements for referring patients from these  facilities to hospice care. This final rule is s slated to be published in the Federal…

NAHC Issues Recommendations in Response to OIG Reports on Hospice Survey Performance and Related Concerns

NAHC address OIG concerns, recommend improvements In July the Department of Health & Human Services Office of the Inspector General (OIG) issued two reports representing in-depth study of findings from Medicare hospice recertification and complaint surveys. One report, Hospice Deficiencies Pose Risks to Medicare Beneficiaries, provides broad findings on frequencies of deficiencies and recommends greater public…

NAHC Calls for Important Changes to 2020 Home Health Proposed Rule

Important insights on how CMS should alter the rule to enhance access to home health The National Association for Home Care & Hospice (NAHC) submitted comments on the 2020 home health prospective payment system rate update proposed rule. The proposed rule was issued on July 11, and includes a number of provisions, most notably, the…

NAHC Submits Comments on Burden Reduction

The National Association for Home Care & Hospice (NAHC) submitted comments on the Centers for Medicare & Medicaid Services (CMS) “Request for Information; Reducing Administrative Burden to Put Patients over Paperwork”. NAHC is always on the hunt for troublesome and unnecessary rules and regulations that come between patients and the quality care at home they…

NAHC Submits Comments to CMS on Proposed Home Health Cost Report Changes

The National Association for Home Care & Hospice (NAHC) and the Home Health Financial Managers Association (HHFMA) submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed changes to the home health cost report (Form CMS-1728-19) and cost reporting instructions. On April 16, 2019, the CMS published notice in the Federal Register of…

NAHC Addresses Rebasing, Addendum Proposals as Part of Hospice FY2020 Payment Rule Comments

On June 18, 2019, the National Association for Home Care & Hospice (NAHC) submitted extensive comments in response to “Medicare Program; FY 2020 Hospice Wage Index and Payment rate Update and Hospice Quality Reporting Requirements.”  As part of the rule the Centers for Medicare & Medicaid Services (CMS) proposed policy changes with significant financial and…

NAHC Concerned Proposed Immigration Rule Could Harm Home Care

NAHC has filed comments with the Department of Homeland Security (DHS) on a proposed regulation to make it more difficult for people deemed likely to use public benefits like Medicaid or food stamps to enter the United States legally and earn a green card. The proposed draft regulation would change how the federal government evaluates…