Home Health & Hospice Week

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Medicare Lightens Up On 36-Month Rule

Get to know these new CHOW rule exceptions. Your chances of selling your home care business unencumbered have increased, thanks to the 2011 PPS final rule. "Changes to the 36-month rule are very helpful," cheers attorney Robert Markette Jr. with Gilliland & Markette in Indianapolis. The rule requires agencies sold within 36 months of start-up or a previous sale to undergo another initial survey to retain billing privileges. The Centers for Medicare & Medicaid Services issued on Nov. 2 the revisions to the rules about changes of ownership (CHOWs) in the 2011 prospective payment system final rule. Change #1: "CMS amended the definition of 'change in majority ownership' to make it clear that changes in indirect ownership are not covered by the rule," Markette explains. "This means a change in ownership of a holding company that holds stock in companies that own and operate HHAs would not trigger the 36-month [...]
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