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Category: Home Health Today

Home Health Today

New Discharge Planning Requirements for Hospitals, Inpatient Rehabilitation Facilities, and Home Health Agencies

Today CMS issued a final rule that sets new requirements for discharge planning. CMS wants patients to have a more active role in the process, as well as continue to …

Home Health Today / Hospice Today / Skilled Nursing

CMS Releases New Post-Acute Care and Hospice Utilization and Payment Data

Today, CMS posted the first annual release of the Post-Acute Care and Hospice Utilization and Payment Public Use Files (PAC PUF) with data for 2017. The PAC PUF replaces the …

Home Health Billing / Home Health Today

Addressing Claims with Reason Code 37253: A Helpful Article from CGS

Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when …

Home Health Today / Hospice Today

California Law Targeting Gig Economy Workers Could Hurt Home Health Agencies

California’s Assembly Bill 5 (AB 5) passed in the State Senate last week, and is expected to be signed into law. AB5 is intended to ensure that “gig” workers like …

Home Health Billing / Home Health Today

CMS Proposes Eliminating RAPs for Home Health Agencies

Today CMS issued a proposed rule that has broad-reaching effects across the home health care industry. CMS is proposing to address potential Medicare fraud by phasing out pre-payments for home health …

Home Health Today / Newsletter

The PACE Program Receives its First Update Since 2006

CMS finalized a rule to update and modernize the PACE program. This rule is the first major proposed update to the Programs of All-Inclusive Care for the Elderly (PACE) since …

Home Health Billing / Home Health Today

CMS Releases New Home Health Change of Care (HHCCN) Form

CMS has released an updated Home Health Change of Care (HHCCN) Form.  Effective July 1, 2019, all Home Health Agencies will be required to use the renewed form with the …

Home Health Today

Medicaid Can No Longer Pay Union Dues Under New CMS Policy

This week, CMS finalized a rule which prevents home healthcare workers from paying union dues via state Medicaid payments. This reverses a rule from 2014 which permitted the practice. CMS’ …

Home Health Billing / Home Health Today

CMS Releases a New Version of OASIS for 2020

CMS has announced changes to OASIS for 2020. Fortunately for providers, they are relatively minor and will be easy to implement. From CMS: “Beginning January 1, 2020, changes to the …

Home Health Billing / Home Health Today

CMS Finalizes Medicare Advantage and Part D Payment and Policy Updates for 2020

On Monday CMS finalized a rule giving Medicare Advantage plans a 2.53% pay raise in 2020. This is far better than the 1.59% raise that was proposed previously. Additionally, the …

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