NAHC: CMS Bases Payments on Therapy Utilization Despite Law

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In response to a requirement of the Consolidated Appropriations Act (CAA), 2023, the Centers for Medicare & Medicaid Services (CMS) presented data used to determine Medicare home health payment rates for calendar year (CY) 2023, including the permanent and temporary rate adjustments calculated under the Patient Driven Groupings Model (PDGM) “budget neutrality” requirements. Also required […]

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HHS Issues a RFI to Implement Advanced Explanation of Benefits

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Respond to the HHS Request for Information HERE Recognizing the complex issues involved in developing regulations to implement the Advanced Explanation of Benefits AEOB, the Department of Health & Human Services (HHS) is requesting information from the public on a range of issues to better inform future rulemaking. The Consolidated Appropriations Act, 2021 (CAA), which […]

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CMS Updates Benefit Policy Manual to Provide Hospice Clarifications

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The Centers for Medicare & Medicaid Services (CMS) has updated Chapter 9 of the Medicare Benefit Policy Manual to provide clarification for two hospice items: Election statement addendum, Aggregate cap calculation methodology. The clarifications are welcome, especially for the election statement addendum. Since its implementation last year hospices have been asking for more information about […]

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