Home Health Line
07/04/2016
It’s unclear at this point how many of the 864 Medicare home health agencies in Illinois might find themselves financially squeezed come Aug. 1, when they’re expected to become the first agencies to experience CMS’ five-state demonstration of pre-claim reviews. But there are hints it might be all of them.
07/04/2016
Rebasing and other adjustments to Medicare’s home health payments under the PPS rule CMS has proposed for 2017 would reduce total reimbursement of agencies by an estimated 1%, or $180 million — a reduction smaller than the 1.4% cut imposed by the current PPS rule.
07/04/2016
Home health agencies are getting a first look at the OASIS-C2 guidance manual that updates the data set scheduled to go into effect beginning Jan. 1, 2017, for all assessments.
07/04/2016
Now that CMS has announced its plan to remove several value-based purchasing measures, agencies in the nine affected states should identify where they stand on the remaining measures and determine which areas require immediate performance improvement.
07/04/2016
As part of the 2017 proposed PPS rule for home health, CMS is seeking to add several quality measures and remove others.
07/04/2016
More than 3,000 changes and impactful revisions in tabular instruction are coming to ICD-10 when the FY2017 code set takes effect Oct. 1. CMS posted the final full addenda list along with an updated tabular, alphabetic index, neoplasm table, table of drugs and chemicals and index of external causes June 22.
07/04/2016
A new HHS Office of Inspector General (OIG) analysis has identified 562 home health agencies nationwide — about 5% of all agencies — that have multiple characteristics found in OIG-investigated cases of fraud.
07/04/2016
The private duty industry’s court battle involving the companionship services exemption has come to an end.
07/04/2016
by: CMS
The 2017 proposed national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are slightly higher for all disciplines than the 2016 rates.
07/04/2016
by: CMS
View this tool to evaluate the major provisions of the proposed 2017 PPS rule.

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