COVID -19 Therapeutic Receives Emergency Use Authorization

The Centers for Medicare & Medicaid Services announced that starting November 12, 2020, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat coronavirus disease 2019 (COVID-19) with no cost-sharing during the public health emergency (PHE). CMS’ coverage of monoclonal antibody infusions applies to bamlanivimab, which received an emergency use authorization (EUA) from the U.S.…

CMS Extends Phased-in Review Choice Demonstraton in Florida & N. Carolina

The Centers for Medicare & Medicaid Services (CMS) announced on Thursday night, October 29, that due to the continuing public health emergency, CMS will be extending the phased-in participation in the Review Choice Demonstration (RCD) for Home Health Agencies in Florida and North Carolina until January 1, 2021. Providers may continue submitting pre-claim review requests. Claims…

NAHC, Big Health Care Orgs Urge Congress to Extend Relief from 2% Sequester Spending Cuts

The National Association for Home Care & Hospice (NAHC), as well as the American Hospital Association, the American Health Care Association, and the American Medical Association have written to top congressional leaders, urging them to extend the congressionally enacted moratorium on the application of the Medicare sequester cuts into 2021 and through the duration of…

CMS Announces New Repayment Terms for Medicare Loans made to Providers during COVID-19

New recoupment terms allow providers and suppliers one additional year to start loan payments The Centers for Medicare & Medicaid Services (CMS) announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program as required by recent action by President Donald J. Trump and United States Congress. This Medicare loan program allows CMS…

MedPAC Finds Pandemic Devastated Nursing Homes, Assisted Living Facilities

Steep decline in home care services has mostly recovered. The Medicare Payment Advisory Commission (MedPAC) recently reconvened for a series of sessions in their continued efforts to optimize the Medicare program. Leading off the September meeting was a session focused on the effects of the COVID-19 pandemic on the Medicare program. As expected, the MedPAC…

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…