Home Health Line Breaking News
05/06/2016
A May 4 post on Medicare Administrative Contractor (MAC) Palmetto GBA’s website indicates that an issue involving overpayments for certain hospice claims now won’t be resolved until January 2017, rather than in July 2016.
04/22/2016
Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estimated 2% in 2017, according to the proposed hospice payment rule posted April 21.
04/22/2016
Unlike with the 5-star HHCAHPS ratings, the 5-star quality of care ratings released April 20 proved to be relatively stable.
04/20/2016
View a list of the 293 5-star agencies in quality of care, according to data posted on the Home Health Compare website April 20.
04/15/2016
Jacques Roy, the Texas physician at the center of a $375 million false claims conspiracy, has been found guilty of nine Medicaid fraud charges.
04/14/2016
Be aware of changes, effective immediately, to wound definitions and stages. The changes were announced April 8 and 9 by the National Pressure Ulcer Advisory Panel (NPUAP).
04/13/2016

Take heed: Yet another care delivery model has been launched to improve the quality of patient care. The Comprehensive Primary Care Plus (CPC+) model announced April 11 by CMS will work with private insurers to pay participating primary care providers a per beneficiary per month (PBPM) fee, allowing them to design their own care choices for patients, including services not currently paid under the Medicare fee-for-service model.

04/13/2016
CMS has scheduled an open door forum 2 p.m. to 3 p.m. EST April 26 to discuss face-to-face encounter requirements for Medicaid patients.
04/04/2016
Attendees at the National Association for Home Care & Hospice’s (NAHC) annual March on Washington conference discussed the regulatory burdens felt from face-to-face requirements and the issues they have with a proposed prior authorization demo. They expressed these concerns minutes after CMS presented a session focused primarily on care delivery models such as accountable care organizations (ACOs).
04/01/2016
Beneficiaries don’t necessarily have to be present during advance care planning discussions for providers to bill for advance care planning. That guidance was included in Q&As CMS released March 22.

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