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…