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Tag Archives forCMS

CMS Releases FY2018 Hospice Proposed Rule

CMS recently released the FY2018 Hospice Proposed Rule. The rule proposes that the overall payments for Hospice providers increase by 1% ($180 Million). Additionally, the Hospice cap amount for the 2018 cap year would be $28,689.04. In addition to the cap and payment updates, the rule solicits comments regarding the source(s) of clinical information for […]

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May 10, 2017

CMS Publishes Home Health Conditions of Participation (CoPs)

Update: Please note that on March 31, 2017, CMS issued a proposed rule to change the effective date of the Home Health CoP regulation changes to January 13, 2018. We will continue you to update you on the progress of the CoP regulation updates as information is given. On January 13, 2017, CMS published the […]

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January 26, 2017

Determining Medicare Eligibility for Home Health Services

Before providing home health services that will be reimbursed by Medicare, it’s important for agencies to determine Medicare eligibility. Having the tools you need to verify Medicare eligibility and provide quality care allows you to put patients before paperwork. What Determines Medicare Eligibility? Medicare eligibility for home health services requires the following criteria to be […]

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January 8, 2017

CMS Releases Notice Regarding Late Hospice NOEs

On December 1, 2016, CMS released a MLN Matters article addressing timely filing of Notice of Election (NOE) for hospice. Hospices must file an NOE for each patient within five calendar days after the effective date of the election. If an NOE is not submitted and accepted within this time period, Medicare will not cover […]

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December 8, 2016

Free Webinar: Home Health Regulatory Update

CMS recently released the final rule for the Home Health Prospective Payment System (HH PPS) for CY2017. What is on the regulatory horizon and how will it affect you? Please join HEALTHCAREfirst for a discussion of the regulatory changes for 2017, including the final rule. Topics include: Rates/Payment changes Recalibration of case mix Outlier payment changes […]

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November 21, 2016

2017 Home Health Final Rule Published

CMS released the CY2017 Final Rule for Home Health on October 31, 2016. The payment rate portion of the rule is consistent with the proposed rule, with only minor modifications, resulting in a slight rate reduction from 2016 rates. Some important items to note include: Outlier Calculations HHAs who have a high volume of outlier […]

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November 1, 2016

NAHC to File Pre-Claim Review Lawsuit Against CMS

  Update: On March 31, 2017, CMS announced that as of April 1, 2017, the Pre-Claim Review demonstration will be suspended for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.  CMS will notify providers at least 30 days in advance via an update to their website of further developments related to […]

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October 27, 2016

Pre-Claim Review Demonstration Update

Update: On March 31, 2017, CMS announced that as of April 1, 2017, the Pre-Claim Review demonstration will be suspended for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017. CMS will notify providers at least 30 days in advance via an update to their website of […]

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September 21, 2016

CMS Announces New Pre Claim Model for Home Health Agencies

Three-Year Model to Affect Five States CMS announced Wednesday they are implementing a three year Pre-Claim model for Home Health. The model had started out as a pre-authorization and morphed into the pre-claim review. Many in the industry had hoped recent collaboration from industry groups, leaders, and members of congress would be enough to convince […]

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June 10, 2016

Actions to Ensure Home Health Regulatory Compliance

Meet CMS Requirements and Commit to Quality Patient Care Managing ever changing CMS requirements can be a huge burden on home health agencies. Implementing a comprehensive compliance program not only ensures that you meet CMS requirements, but also establishes your commitment to higher ethical standards and quality patient care. According to the OIG Compliance Program […]

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May 19, 2016
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