CMS Issues Additional Home Health Claim Processing Instructions

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 12424 that provides additional instructions related claims processing for the notice of admission (NOA) for claims that span calendar years 2021 and 2022, and special circumstances for discharges when no visits are made in a subsequent 30 day period. In the Medicare Claims…

NAHC Comments to CMS Call for Important Changes to Proposed Rule

“It is highly unlikely that home healthcare delivery in 2022 will be anything comparable to care delivery in 2020.” – NAHC The National Association for Home Care & Hospice (NAHC) has filed comments to the Centers for Medicare & Medicaid Services (CMS) on the CY2022 proposed rule, calling for no substantial changes to the PDGM payment…

CMS Issues System Changes for the Home Health NOA

The Centers for Medicare & Medicaid Services’ (CMS) Change Request 12227 outlines the business requirements describing the changes to the Medicare systems to implement processing of the notice of admission (NOA) and claims.  NOAs will be submitted using type of bill (TOB) 32A and may be cancelled using TOB 032D. All claims for periods of…

CMS Issues Notice of Admission Business Requirements

The Center for Medicare and Medicaid Services (CMS) has issued Change Request 12227, which provides the Business Requirements to the Medicare Administrative Contractors (MACs) for the home health Notice of Admission. These instructions outline the Medicare system changes and edits needed to implement the Notice of Admission that home health agencies will be required to…

CMS Issues Manual Instructions for the Home Health NOA

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12256, Replacing Home Health Requests for Anticipated Payment (RAPs) with the Notice of Admission (NOA). The CR updates multiple sections of the Chapter 10 of the Medicare Claims Processing Manual to reflect requirements for the Patient Driven Groupings Model such as adding “Notice of Admission” when applicable and replacing the phrase “60 day…

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…

CMS Proposes to Require a Notice of Admission

The Centers for Medicare & Medicaid Services (CMS) is proposing to eliminate the advance, split percentage payments for all home health agencies (HHAs) in 2021. Therefore, agencies will no longer submit Requests for Anticipated Payment (RAPs) beginning January 1, 2021. The RAP submission opens a home health prospective payment system (HHPPS) episode in the CMS…