CMS Issues Rural Add-On Instructions

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 10782 which provides instructions to the Medicare Administrative Contractors (MACs) on the rural add-on for home health claims as required by Section 50208 of the 2018 Bipartisan Budget Act (BiBA). Beginning January 1, 2019 payment increases will be applied to home health services…

CMS Issues Provider Enrollment Updates and Rural Add-on Tables

Deactivations The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 10443 that updates Medicare Program Integrity Manual related to policies for Medicare provider deactivations. The changes align the reasons for deactivation more accurately with the regulations at §242.540 and include several small changes in chapter 15 of the manual under sections 15.27and15.29.…

CMS Instructs MACs on Three Percent Rural Add-On Adjustment

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 10531, which provides instructions to the Medicare Administrative Contractors (MACs) to reprocess home health claims eligible for the three percent rural add-on pursuant to the Bipartisan Budget Act of 2018. On February 9, 2018, Congress passed the Bipartisan Budget Act of 2018 which…

CMS Home Health, Hospice & DME Open Door Forum Notes (Feb. 28, 2018)

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice and DME Open Door Forum on February 28, 2018.  A summary of the call is below. HOSPICE Electronic submission of the Notice of Election (NOE) – Several problems were identified with electronic submission of the NOE (for previous NAHC coverage click here),…

Continuing Resolution in Congress is a “Mixed Bag” for Home Health

Late last night, the House of Representatives released legislative language for another short-term Continuing Resolution (CR) that funds the federal government until March 23, 2018. Included in this CR is the Medicare Extenders Package, home health payment reforms, documentation reforms for the physician certification requirements, a Home Health Market basket Index (inflation) adjustment, and a…

Predictions for Legislation and Regulation in 2018

The year 2018 projects to be an interesting one in the halls of the United States Congress. As the majority party in both chambers, Republicans will continue to work to carry our President Trumps agenda, including a broad infrastructure plan, immigration reform, and border security. Lawmakers will also work towards passing a budget resolution funding…

Help Protect Home Health Care for Rural Patients!

Congress is debating significant cuts in payment rates and spending on home health services, likely in the range of $3-$6 billion over the next ten years. As if that is not bad enough, there is also the distinct possibility that Congress will permanently phase out the long-standing and bipartisan rural add-on over the next three…

Where Home Health and Hospice Legislation Stands at the Start of 2018

The 2017 congressional calendar ended with such a bewildering flurry of proposed, rumored and even successfully passed legislation, it would be easy to overlook, or struggle to remember, everything that happened. In preparing for quickly approaching legislative battles, NAHC Report provides you with this quick review of where we stand legislatively at the dawn of…

House Committee Proposes Extension of Rural Add-on, Payment Modifications

House Ways and Means Committee Chairman Kevin Brady (R-TX) and Ranking Member Richard Neal (D-MA) today announced a bipartisan agreement relating to Medicare “extenders,” policies that expire unless Congress acts. Today’s Ways and Means announcement includes both the extension of current policies as well as proposed offsets. For home health care, this agreement includes a…