Category: Home Health

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

New HHA’s under Provision Period of Enhanced Oversight

According to MLN Matters Number SE19005, release date February 15, 2019 new home health agencies in Medicare programs will be placed under a provisional period of enhanced oversight. What does that mean for you and your business? The new statute focuses on Requests for Anticipated Payments (RAPs) from home healthcare agencies. The Centers for Medicare

Is your Home Health Care Agency Ready for 2019 OASIS Changes?

Home health care agencies knowledgeable about the Outcome and Assessment Information Set (OASIS) data sets already know how rigorous they are. It then comes to determining measureable data for home health patient care risk factors and outcomes from start of care to discharge. Upcoming changes to OASIS (from OASIS-C2 to OASIS-D) beginning January 1, 2019

Bill to Enable Non-Physician Practitioners to Certify Home Health Introduced in Senate

Long-time home care champions Senators Susan Collins (R-ME) and Ben Cardin (D-MD) have introduced the Home Health Care Planning Improvement Act (S. 296) in the 116th Congress. This long-standing NAHC priority legislation would enable non-physician practitioners the authority to certify home health orders under Medicare. In the past, this legislation has enjoyed strong, widespread bipartisan support in both

7 Ways Outsourcing Medical Billing Helps Home Health Providers

The complicated financial requirements in the healthcare industry have created revenue problems for many home health providers. Without a consistent process or the right approach to medical billing, you may be faced with financial difficulties trying to get paid consistently and on-time for your services. Because the process can be an arduous task that every