NAHC Urges Important Changes to CMS’ Interim Final Rule

The National Association for Home Care & Hospice (NAHC) has asked the Centers for Medicare & Medicaid Services (CMS) to suspend the 2020 PY for the Home Health Value-Based Purchsing Model, in comments to CMS in response to the Interim Final Rule, first released on April 30, 2020. The NAHC July 7 letter to CMS…

NAHC Comments on CMS’ Interim Final Rule in Response to COVID-19 Pandemic

The National Association or Home Care & Hospice submitted comments on the Centers for Medicare & Medicaid Services (CMS) Interim Final Rule with Comments (IFC) issued March 30, 2020 in response to the COVID -19 pandemic. Below is a summary issues and recommendations related to home health agencies (HHA) and hospice. HOME HEALTH Homebound Status Under…

NAHC to CMS: Physician Referrals Must Honor Patient Freedom of Choice

The National Association for Home Care & Hospice (NAHC) recently responded to an invitation from the Centers for Medicare & Medicaid Services (CMS) to comment on a proposed rule regarding regulations governing physician self-referral rules. The proposed rule, Medicare Program: Modernizing and Clarifying the Physician Self-Referral Regulations, 84 Fed. Reg. 55766 (October 17, 2019)], is…

Future Home Health and Hospice Quality Measures Under Consideration

As was previously reported, the list of quality Measures Under Consideration (MUC) for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP) were  released and NAHC submitted comments concerning the two measures, one for each program.  On December 18, 2019, the Measures Application Partnership (MAP) released its 2019-2020 Preliminary…

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…