Tag Archives | home care

Big Changes for Medicare Home Care Provider’s Emergency Preparedness Under CMS Final Rule

The Centers for Medicare & Medicaid Services (CMS) finalized a rule to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters. These new requirements will require certain participating providers and suppliers to plan for […]

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Tips for Stress Free Holidays

The holidays are a joyous but stressful time for many families.  More elderly adults are choosing to live independently longer, and family members and caretakers must make important choices about their daily care.  That care doesn’t take a break this time of year.  Many families turn to outside home care providers for a little help […]

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CMS Billing Clarification

Last week, CMS issued the CY 2017 Medicare Home Health Prospective Payment System Final Rule. Overall, CMS estimates a 0.7% reduction in Medicare home health payments ($130 million in 2017 nationally.) Here are the ingredients: A market basket update of 2.5%  (a $450 million increase) A 0.97% reduction in the national, episodic base rate due […]

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CMS Publishes Final Rule for 2017 Medicare Home Health Rates

Yesterday, October 31st, the Centers for Medicare and Medicaid Services (CMS) announced its final rule regarding changes to the Medicare home health prospective payment system (HHPPS) for Calendar Year (CY) 2017. The final rule also includes payment policy provisions, updates to the home health quality reporting program (HHQRP) and proposed changes to the Home Health […]

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OIG Releases Investigative Advisory on Medicaid Fraud & Patient Harm Involving Personal Care Services

Personal care services came under the increasingly watchful eye of the Office of Inspector General this week, when the department released a scathing memo calling into question Medicaid reimbursements for non-medical services provided to assist with activities of daily living, such as bathing, dressing, light housework, medication management, meal preparation, and transportation. Although these services […]

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CMS Issues G-Codes to Differentiate RN and LPN visits for Hospice, Home Health

From NAHC: Different Codes for RN/LPN Visits will Facilitate Implementation of Hospice Payment Reforms On Friday, October 16, 2015, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 3378/Change Request 9369, providing Additional G-Codes Differentiating Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) in the Home Health and Hospice Settings. The issuance of these two […]

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Update on Face to Face

On November 6, 2014, The Centers for Medicare & Medicaid Services (CMS) issued final rule CMS-1611-F, Calendar Year (CY) 2015 Home Health Prospective Payment System (HH PPS) Final Rule.  The HH PPS final rule (79 FR 66032) finalized a change that, beginning, January 1, 2015, requires home health agencies (HHA) to obtain documentation from the […]

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More Clarifications for ICD-10 Change

The National Association for Home Care & Hospice (NAHC) has recently learned that the organizations responsible for the official ICD-10 coding guidance has issued clarification that would require home health agencies to indicate an “A” (initial encounter) in the 7th character for some ICD-10 codes. An “A” in the 7th character should be used for any encounter […]

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Back Row from Left to Right:  Ernest Gould Sr., Grace Anderson Charlene Mitchell, Lorraine Meyer, Kathleen Crevier, Front Row from Left to Right Peter Cassell, Alice & Richard Vierus,   Dr.Owen Houghton, Jacqueline Gagne and Kate Kelly not present

Governor Recognizes Home Care & Hospice Volunteers

Two of New Hampshire’s Home Care & Hospice volunteers were among those recognized for excellence in volunteering by Governor Hassan on May 4th.  In a packed Executive Council Chamber Peter Cassell of Central New Hampshire VNA and Lorraine Meyer of Cornerstone VNA were both Awarded the Joseph D. Vaughan Award for Outstanding Leadership and Meritorious Achievement as a Volunteer. […]

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Excellence in Nursing Award Seeks NH Nominations

The Foundation for Healthy Communities is pleased to announce that nominations are being accepted for the 2014 Clint Jones NH Nursing Award!  This award recognizes a registered nurse, new to the profession of nursing, who exemplifies the practice of high quality nursing care and demonstrates an exceptional commitment to the nursing profession. Selection criteria include […]

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NH Surrogate Decision Maker Law Now in Effect

New Hampshire’s new “Surrogate Decision Maker Law” took effect on January 1st. This law amends RSA 137-J — the state’s advance directive statute — and creates a hierarchical list of family members/friends who may make health care decisions for patients in certain situations for a limited time period. It’s important that home care and hospice agencies […]

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Leadership Conference Early Bird Deadline Extended to January 5th!

You have another chance at discounted registration for the Northeast Home Health Leadership Summit in Boston. The early bird deadline has been extended to January 5th. The event takes place January 20 – 22 at The Colonnade Hotel in Boston. Join colleagues from NE, NY and NJ to learn about the latest trends in home […]

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Federal Court Overturns Overtime Rule

On December 22, The US District Court for the District of Columbia ruled that the Department of Labor violated the plain language of the Fair Labor Standards Act (FLSA) with its regulation that excluded third-party employers from the application of the “companionship services” and “live-in domestic services” exemptions. The lawsuit was filed by three plaintiffs […]

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Congress Issues Report to CMS Asking it to Justify its Face-to-Face Policy

As part of its analysis of the ongoing face-to-face issue, Inside Health Policy recently summed up the continuing frustration the home care and hospice community feel surrounding the face-to-face requirement: “[The Home Care] Industry has viewed the Affordable Care Act’s face-to-face requirements as flawed and unclear. As part of the face-to-face documentation, a physician narrative […]

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Congressional Budget Calls for CMS Report on F2F, Rebasing

The $1.1 trillion spending plan approved by the Congress includes ‘report language’ on the Medicare Home Health face-to-face (F2F) rule and Medicare home health rebasing. While ‘report language’ is non-binding, it nevertheless could have policy implications if implemented by the Centers for Medicare and Medicaid Services (CMS). Below is the language contained in the bill: […]

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Nominate NH’s Outstanding Business Women by 1/7

New Hampshire has Outstanding Women in Business More people recognize the admirable role women play in business even though women are still underrepresented in top leadership positions. The tide is turning, however. Countless studies have recognized the positive difference women business leaders make in the companies they work for including increased revenues, increased innovation, and […]

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New England Senators Send F2F Concerns to CMS

A bi-partisan Senate letter raising questions and concerns about Medicare medical reviews and F2F denials was sent to CMS Administrator Marilyn Tavenner last week.  The letter was initiated by Senator Kelly Ayotte and co-signed by Senator Jeanne Shaheen, along with seven other Senators from Vermont, Maine, Massachusetts and Connecticut. “Home health agencies in our states are being overwhelmed […]

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CMS Extends CoP Comment Period to January 7

Centers for Medicare and Medicaid Services (CMS) has agreed to accept public comments for an extra month on the proposed Conditions of Participation (CoPs) for home health agencies after HCA and other industry stakeholders formally requested additional time to compile feedback on the rule. Comments were originally due on December 8, but CMS has now […]

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NH Medicaid Delays Managed Care Step 2

NH Medicaid has delayed roll-out of Step 2 of its care management program. The most recent timeline was January 1, 2015 for mandatory populations (including Katie Beckett kids) and April 1 for Choices for Independence and Nursing Facility clients. At last week’s Governor’s Commission on Medicaid Care Management, Commissioner Toumpas announced that enrollment for the […]

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