COVID-19 Nursing Home Commission Issues Final Recommendations; Addresses Issues Relevant to Hospice Care in Facilities

In response to the ongoing and widespread impact of the COVID-19 public health emergency (PHE) on nursing home residents throughout the country, the Centers for Medicare & Medicaid Services (CMS) authorized creation of an independent National Commission on Safety and Quality in Nursing Homes to address safety and quality in nursing homes in relation to…

Quality Reporting Program Tip Sheets and Training and Education Resources

The Centers for Medicare & Medicaid Services (CMS) has announced that the COVID-19 PR Tip Sheets are now available for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP). The purpose of the tip sheets is to help providers understand the Centers for Medicare & Medicaid Services’ (CMS) public…

CMS COVID-19 Billing FAQs Updated to Address Cost Report Issues for PRF, PPP

On August 26, the Centers for Medicare & Medicaid Services (CMS) issued an update on COVID-19 Frequently Asked Questions (FAQs) on Medicare Billing Issues.   This included some questions regarding cost report issues.  Following is a summary of the cost report questions that was compiled by Dave Macke, Co-Chair of NAHC’s Home Health and Hospice Financial…

Update: Post Payment Medical Review Topics

As previously reported, the Centers for Medicare & Medicaid Services (CMS) authorized the resumption of medical reviews to begin in August. Since the original resumption announcement, hospices and home health agencies have learned that medical reviews administered by the Medicare Administrative Contractors (MACs) will be service-specific post payment reviews. NOTE: Targeted Probe & Educate (TPE)…

CMS Makes Changes to the Review Choice Demonstration

Today the Centers for Medicare & Medicaid Services (CMS) announced a phased-in approach for the Review Choice Demonstration (RCD) for North Carolina and Florida. Both of these states were set to have RCD begin at the end of this month (See previous NAHC Report coverage here and here.)  CMS also posted a change to the…

NAHC Hospice Election Statement & Addendum Survey

Take this important survey now! The Centers for Medicare & Medicaid Services (CMS) finalized in the Fiscal Year (FY) 2020 Hospice Wage Index and Payment Rate Update and Quality Reporting Update (final rule) an implementation date of October 1, 2020 for the modified election statement and election statement addendum requirements. NAHC and other stakeholders have…

Medical Review Resumes This Month

The Centers for Medicare & Medicaid Services (CMS) will resume medical revnew this month after originally delaying the program during the COVID-19 public health emergency (PHE). (NAHC Report originally reported this news on July 9.) On March 30, CMS suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic and, seemingly, for the…

Senators Introduce Hospice Respite Relief Legislation to Ease Access during Pandemic

On August 4, 2020, Senators Sherrod Brown (D-OH) and Shelley Moore Capito (R-W) introduced the COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423), designed to establish additional flexibilities related to delivery of respite care services during public health emergencies (PHEs) such as the current COVID-19 pandemic. Specifically, the legislation provides the Secretary of…

Corrected Provider Preview, Star Rating Preview Reports Reposted & NOW AVAILABLE: Updated Quarterly OASIS Q&A

Home Health Agency Provider Preview Reports and the Quality of Patient Care Star Rating Preview Reports that were posted previously on June 25, 2020 contained an error. The previous reports contained the HHA observed values instead of the risk adjusted values. The reports have been corrected and are now available. You can find both reports…

CMS Issues Home Health Quality Reporting Program Tip Sheet

The Centers for Medicare and Medicaid Services has issued a Home Health Quality Reporting Program(QRP) tip sheet that outlines the quality reporting requirements for home health agencies (HHA) related to the current public health emergency.  On March 27, 2020, CMS announced temporary relief for HHAs and other providers in QRPs in response to COVID-19 PHE.…