2016 OIG Work Plan: Part A Risk Areas
Put these OIG compliance efforts on a high priority focus list at your hospital. The Office of Inspector General’s (OIG’s) annual work plan for 2016 indicates significant new areas, as well as ongoing...
View ArticleCMS Reveals Pay Changes for Home Health Agencies
Home health agencies can look forward to a 0.7 percent reduction in Medicare payments in the 2017 Medicare home health prospective payment system (HH PPS). This amounts to a $130 million savings for...
View ArticleCMS: New Home Health Rules and Beneficiary Protections
A final rule effective July 13, 2017, which the Centers for Medicare & Medicaid Services (CMS) maintains will improve home health care while streamlining providers’ requirements, has been published...
View ArticleHHA CoPs Final Rule Effective Date Delayed
The Centers for Medicare & Medicaid Services (CMS) issued on March 31 a proposed rule (CMS-3819-P2) to delay the effective date for the Medicare and Medicaid Programs: Conditions of Participation...
View ArticleHome Health Payments to Decline in 2018
A proposed rule would update the 2018 Medicare payment rates and the wage index for home health agencies (HHA) serving Medicare beneficiaries, as well as revise the Home Health Prospective Payment...
View ArticleCMS Extends Enrollment Moratoria in Fraud-ridden States
Continuing the effort to prevent and combat healthcare fraud, waste, and abuse where it occurs most, the Centers for Medicare & Medicaid Services (CMS) has extended the statewide temporary...
View ArticleMedicare Now Considers Hospice Care a Post-acute Transfer
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid...
View ArticleNew Benefit Enhancement for 2019 Care Management Home Visits
Effective Jan. 1, 2019, providers who are participating in Next Generation Accountable Care Organizations (NGACOs) are gaining a new covered benefit enhancement to offer their patients who are not...
View ArticleCMS Is Shaking Things Up for Home Health Agencies
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate...
View ArticleNew Demonstration Targets Home Health Fraud
A 5-year demonstration to develop improved procedures for the identification and prosecution of potential Medicare fraud occurring in the Home Health Program will begin in Illinois no sooner than Dec....
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