Category: Home Health

NAHC Submits Comments to CMS on Proposed Home Health Cost Report Changes

The National Association for Home Care & Hospice (NAHC) and the Home Health Financial Managers Association (HHFMA) submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed changes to the home health cost report (Form CMS-1728-19) and cost reporting instructions. On April 16, 2019, the CMS published notice in the Federal Register of plans to revise the

How will the EMPOWER Care Act affect HHAs?

The Empower Care Act (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care) was re-introduced to the senate early in 2019. This bill is intended to expand as well as renew/reauthorize funding and participation in the transitioning of Medicaid beneficiaries from hospital or institutional settings to home and community-based services under the Money Follows

Program for Evaluating Payment Patterns Electronic Report

New Home Health Agency PEPPER Available The Q4CY18 release of the Home Health Agency (HHA) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through December 2018 is now available for download through the PEPPER Resources Portal. To obtain your agency’s PEPPER, the Chief Executive Officer, President, Administrator or Compliance Officer should: Review the

July 2019, Quarterly Release Temporary Hold

Each quarter, the Fiscal Intermediary Shared System (FISS) is updated to include new logic for claims processing, pricing, etc. When the release is installed, Palmetto GBA places a temporary “hold” to ensure the release is installed properly. During this time, claims with dates on service of July 1, 2019, or later will be held in

CMS Releases Additional Instructions for Claims under PDGM

The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual providing instructions to home health agencies for claims submission under PDGM. CMS Transmittal 4294/Change Request (CR) 11272, Home Health (HH) Patient-Driven Groupings Model (PDGM) – Additional Manual Instructions, provides some clarity

Renewal of the HHCCN

The Office of Management and Budget (OMB) has approved the Home Health Change of Care (HHCCN) Form, CMS-10280.  Effective July 1, 2019, all Home Health Agencies (HHA) will be required to use the renewed form with the expiration date of 4/30/2022 on the bottom.  Please note that HHAs may continue to use the old form

Information About Home Health Ordering/Referring/Attending Physician Adjustments

From October 1, 2018, through April 22, 2019, the home health ordering/referring/attending physician reason code 32072 was not editing correctly. This allowed claims containing a terminated attending physician to incorrectly pay. These claims should have denied. In the beginning of May, a Fiscal Intermediary Shared System (FISS) utility was initiated to adjust claims that should

Bill to Permit Non-Physician Practitioners to Certify Medicare Home Health Orders Introduced in the House

A bipartisan group of legislators introduced a bill in the House of Representatives on Tuesday, April 9, to allow non-physician practitioners to certify home health orders under Medicare. Commonly referred to as the “NPP bill”, the legislation would extend certification authority to nurse practitioners, physician assistants, nurse midwives, and clinical nurse specialists. These NPPs play

Eliminate Home Health Billing Errors

Home health agencies face unique obstacles when it comes to billing practices. Medicare reimbursements focus on regulatory reporting compliance, meeting quality initiatives, and submission of appropriate documentation, just to name a few. Billing errors cost home health agencies significant amounts, not only in reduced reimbursements, but in penalties if mistakes occur. Eliminate those home health

Home Care Executive Forecast: 2019 Trends, Challenges, Opportunities

From an ongoing labor crunch to evolving Medicare Advantage opportunities, U.S. home care providers face numerous challenges but also exciting opportunities heading into 2019. Many private-duty players anticipate tech investments and increasing integration with the overall health care system, as revealed in these forecasts from CEOs and upper level executives. In 2019, older adults and