Home Health Line Breaking News
07/01/2014
Home health reimbursement would drop by a fraction, but agencies would gain considerable face-to-face relief under the PPS rule CMS is proposing for calendar year 2015.
06/25/2014
Two U.S. lawmakers have asked HHS Secretary Sylvia Matthews Burwell to “explore options to assist Medicaid dependent home and community-based providers” in fulfilling the employer requirements of the Affordable Care Act.
 
 
06/19/2014
CMS posted its draft version of the interim OASIS-C1/ICD-9 item set for the first time on June 17. The changes pertain to coding items and time points when OASIS assessment need to be completed, and these changes were made to accommodate the ICD-10 delay until October 1, 2015.
 
 
06/06/2014
The National Association for Home Care & Hospice (NAHC) filed a federal lawsuit June 5 as part of its efforts to combat face-to-face regulations. The face-to-face lawsuit, filed in U.S. District Court in Washington, D.C., claims CMS violated Medicare law.
 
 
05/29/2014
Proposed revisions to the home health Conditions of Participation (CoP) have recently been sent to the Office of Management and Budget (OMB) for review.
05/27/2014
Medicare claims denials by recovery auditors (RACs) combined with more than 460,000 pending provider requests for administrative law judge (ALJ) review of those denials provoked sharp bipartisan criticism of CMS at a recent House Oversight Subcommittee hearing for failing to prevent the appeals jam. 
 
 
05/20/2014
Despite the year-long ICD-10 delay, OASIS-C1 implementation will move forward but with a new start date of Jan. 1, 2015, and some interim changes to the five coding items that required the use of ICD-10 codes, CMS says in a May 20 release.
 
 
05/16/2014
Agencies that bill to Palmetto GBA can expect even more scrutiny of high-therapy claims with HIPPS code 5BGK*, as the Medicare administrative contractor (MAC) initiates a targeted review of these claims. 
 
05/02/2014
An ICD-10 testing week CMS previously scheduled for July 21-25 has been canceled as a result of ICD-10’s one-year implementation delay.
 
 
05/01/2014
ICD-10 will be rolled out on Oct. 1, 2015, according to numerous references in the proposed hospital inpatient payment rule posted on April 30.
 
 

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