Home Health Archives

Hospice Certifying Physician Edit in Effect

By Rebecca Johnson

In Home Health

Jun 4th, 2024

Comments Off on Hospice Certifying Physician Edit in Effect

The Centers for Medicare & Medicaid Services (CMS) and its Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) are all systems go for the new — and potentially troublesome — claims system edit. The edit went into effect June 3. The Back Story In the 2024 Hospice Payment Rate Update final rule, CMS adopted ...

Billing Changes for IVIG Items and Services

By Renee Dustman

In Billing

Jan 5th, 2024

1 Comment

With the Medicare demonstration for intravenous immune globulin (IVIG) ending Dec. 31, 2023, the Centers for Medicare & Medicaid Services (CMS) has revised the Medicare Claims Processing Manual, Chapter 20 – Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Section 213 – Billing for Home IVIG Items and Services. Here’s a quick synopsis of the ...

OIG Puts Home Health, Hospice in the Hot Seat

By Rebecca Johnson

In Compliance

Dec 18th, 2023

Comments Off on OIG Puts Home Health, Hospice in the Hot Seat

Hospital transfers, underreported falls, and sparing use of telehealth are highlights in Congressional report. You can expect to see more compliance enforcement from one federal watchdog agency, if Congress is swayed by its claims. The Department of Health and Human Services Office of Inspector General’s Fall 2023 Semiannual Report to Congress “highlights over $3.44 billion ...

HHA Stakeholders Make a Case Against Proposed Pay Cuts

By Rebecca Johnson

In Billing

Sep 25th, 2023

Comments Off on HHA Stakeholders Make a Case Against Proposed Pay Cuts

Former MedPAC commissioner cites agencies’ high profit margins. Home health agencies (HHAs) have been making a lot of noise to push back on the proposed rate cuts for 2024, and a Senate hearing has added a volume boost. HHAs and their representatives had reactions ranging from dismay to shock to fury when the Centers for ...

VBP Ground Continues To Shift Under HHAs’ Feet

By Rebecca Johnson

In Home Health

Jul 6th, 2023

Comments Off on VBP Ground Continues To Shift Under HHAs’ Feet

Under newly proposed configuration, half of VBP points will come from only two measures. As home health agencies (HHAs) navigate their first year of the Expanded Home Health Value-Based Purchasing (HHVBP) program, Medicare is proposing to change the rules of the game. The Centers for Medicare & Medicaid Services (CMS) wants to swap out the ...