Tag Archives | Medicare

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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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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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CMS Urged to Delay F2F Enforcement

Last week the Home Care Association of New Hampshire joined state home care associations across the nation to urge CMS to delay enforcement of the new Medicare Face to Face certifying requirements for physicians.  The letter sent to Centers for Medicare and Medicaid Services (CMS) Administrator Marilyn Tavenner urged a phased-in approach to the new […]

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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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Glenda Jimmo and husband Dennis at their home in Lincoln, VT, photo by Andrew Stein

Disabled Vermont Senior Wins Medicare Coverage After 2nd Lawsuit

by Susan Jaffe Kaiser Health News A disabled senior with serious health problems who successfully challenged Medicare for denying her home health care coverage has racked up another win against the government. In her latest federal lawsuit filed in June, Glenda Jimmo, 78, argued Medicare should have paid for the nursing care and other skilled […]

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Glenda Jimmo and husband Dennis at their home in Lincoln, VT, photo by Andrew Stein

‘Improve or You’re Out’ Medicare Policy Unchanged

Glenda Jimmo has been blind since childhood because of problems related to her diabetes. A few years ago she had her leg amputated below the knee and all but one toe removed from the remaining leg. After the surgery she received rehab services from a local home care agency, paid for by Medicare– but then […]

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