Legislation

2017 Home Health Final Rule Published

2018-03-17T01:40:01+07:00November 1, 2016|News|

CMS released the 2017 Home Health Final Rule 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 about the 2017 Home Health Final Rule to note: Outlier Calculations HHAs who have a

New QAO Quality Reporting Requirement for Home Health

2017-12-19T22:47:25+07:00June 29, 2015|News|

Start Date Begins This Week. The Centers for Medicare and Medicaid Services (CMS) instituted payment related quality reporting requirements for home health agencies in regulation 42 CFR 484.250(a) several years ago. Since that time, agencies that have failed to report OASIS data and comply with Home Health Care Consumer Assessment of Healthcare Providers and Systems

ERAs Have A New CARC for Sequestration

2018-04-12T03:59:12+07:00August 5, 2013|Archive, News|

Sequestration, Reduction in Federal Spending. ERAs Have A New CARC for Sequestration (Claim Adjustment Reason Code). Sequestration took effect on April 1, 2013 and will remain in effect for 9 years through 2021 unless legislation is enacted to change it. The 2% payment reduction is applied to: Episodes with end dates of April 1, 2013

New Legislation Complicates Home Health Care for Medicare Patients

2018-08-09T18:37:41+07:00July 12, 2011|Archive, News|

Medicare Patients Home Health Face-to-Face Rule. Physicians are disturbed by new Medicare mandates demanding lengthy justifications describing Medicare patients' qualifications for Home Health Care and Hospice Care under Medicare coverage standards, according to a new survey. Conducted by the independent polling firm, Fabrizio, Ward & Associates, results from this National Association for Home Care and Hospice (NAHC) poll show physicians

Home Health Requirements Reform From Senators

2017-12-19T21:47:59+07:00June 1, 2011|Archive, News|

57 Senators Urge CMS To Reduce Paperwork Burden For Face-To-Face Home Health Requirement. HEALTHCAREfirst, Inc., provider of leading-edge home health care and hospice technologies, has been monitoring the flood of news recently with reports of Senators attempting to reduce the amount of paperwork involving the face-to-face home health requirement. Following is an article from InsideHealthPolicy.com

Palmetto GBA Payer ID Changed

2017-12-19T21:31:27+07:00January 23, 2011|Archive, News|

HEALTHCAREfirst Home Health & Hospice Software Updated. PGBA previously used a Payer ID of 00380 to appear on electronic claim files submitted for processing.  PGBA's new Payer ID of 11001 is required as of Monday, January 24, 2011. firstHOMECARE and firstHOSPICE providers will not need to do anything for the change; the systems have been updated over