CMS Launches New Tool to Compare Nursing Home Vaccination Rates

Hospice organizations provide a significant level of services to nursing facility patients and have experienced numerous challenges throughout the COVID-19 Public Health Emergency delivering care to nursing home patients. Therefore, NAHC believes hospice providers might be interested in recent action taken by the Centers for Medicare & Medicaid Services (CMS) to provide public access to…

CMS to Proceeed with Targeted Probe and Educate

The Centers for Medicare & Medicaid Services (CMS) has decided to continue to proceed with the Targeted Probe and Educate (TPE) medical review, which they resumed on September 1, 2021. (Please see NAHC Report CMS Resumes Targeted Probe & Educate.) Although, the Medicare Administrative Contractors (MACs) have been conducting limited medical review since August 2020, a…

CMS Proposes Payment Rate Update to Home Health in 2022

Proposal to expand HHVBP demonstration nationwide 4.36% behavioral adjustment remains The 2022 proposed Medicare home health rates represent a simple inflation rate update, a proposal to recalibrate the case mix weights while maintaining the Low Utilization Payment Adjustment (LUPA) threshold amounts. A scheduled phasing-out of the rural add-on, and the continuation of outlier payment standards, with…

CMS Extends Medical Review Dates

The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare Administrative Contractors (MACs) may now begin conducting post-payment medical review for later dates of services. On March 30, 2020 the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic.  On August 17, 2020…

OIG Adds 2 Home Health Items to Work Plan

The Office of Inspector General (OIG) has announced two new items of interest to NAHC home health members. One is an audit of home health telehealth services during the COVID-19 public health emergency (PHE) and the second is a report on the challenges faced by home health agencies in responding to the PHE and the…

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)…

Hospice Quality Reporting Program Quarterly Update

The Centers for Medicare & Medicaid Services (CMS) released the quarterly Hospice Quality Reporting Program (HQRP) Update for the first quarter of 2020.  This update reviews the HQRP reporting requirements and provides an update on the HOPE (Hospice Outcome and Patient Evaluation) instrument as well as links to HQRP information that was distributed during the…

CMS Revises the Advanced and Accelerated Payment Program

The Centers for Medicare & Medicaid Services (CMS) has announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. An accelerated/advance payment is intended to provide necessary funds when there is a disruption in claims submission and/or…

What Has Changed for Home Health During the Public Health Emergency? NAHC has the Answers

On March 30, 2020, the Centers for Medicare &Medicaid Services (CMS) issued an interim final rule with comment (IFC) that  provides relief from regulations governing health care provider operations in response to the COVID -19 pandemic. The National Association for Home Care and Hospice (NAHC) conducted a national webcast presenting the regulatory waivers that had…

CMS Acts to Support Victims of Hurricane Dorian

The Centers for Medicare & Medicaid Services (CMS) has announced efforts underway to support Florida, Georgia, and South Carolina in response to Hurricane Dorian. On August 30, Health and Human Secretary Alex Azar declared a public health emergency (PHE) in Florida. On September 2, Secretary Azar did the same for Georgia and South Carolina. CMS…