NAHC to CMS: Roll Back 2020 Rate Adjustment Based on Faulty Prediction of HHA Behavior

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The National Association for Home Care & Hospice (NAHC) urged the Centers for Medicare & Medicaid Services (CMS) to roll back the 2020 rate adjustment CMS instituted based on a prediction of how home health agencies (HHA) would behave that has not materialized. That recommendation, and several more, are part of NAHC’s formal comments to […]

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NAHC Analysis of the CY 2021 Home Health Proposed Rule

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CY 2021 Home Health Proposed Rule Addresses Payment Rates, Telehealth, Quality Program and Home Infusion Therapy   Late this afternoon the preview of the CY 2021 home health proposed rule, Medicare and Medicaid Programs; CY 2021 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Services Requirements, was […]

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CMS Issues New G-Codes and Other Claims Processing Instructions

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The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 11721, two new G-codes to indicate on home health (HH) claims when maintenance therapy is provided by a therapy assistant. The CR also provides various clarifying changes to the Medicare Claims Processing Manual, chapter 10, in order to better reflect the policies […]

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Master the New Home Health Payment System at the 2020 PDGM Virtual Summits

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Key insights and lessons learned from the top experts in home health care REGISTER NOW The current COVID-19 pandemic is demonstrating that more than ever quality care in the home is the future of American health care. Home health agencies are busier than ever and facing greater changes than ever. A new payment system is […]

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New NAHC Webinar: PDGM and Data Analytics

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NAHC will present a new webinar, Data Analytics, on Wednesday, March 11, 2020 from 1:00 to 2:30 PM Eastern Time. This new webinar is the fifth in the six-part series, PDGM in Real Time. Real time data availability and early analysis of the key performance indicators in PDGM are important and essential ingredients to early success […]

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New NAHC PDGM Webinar: Clinical Management of Patient Episode

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NAHC will present a new webinar, Clinical Management of Patient Episode, on Wednesday, March 11, 2020 from 1:00 to 2:30 PM Eastern Time. This new webinar is the fifth in the six-part series, PDGM in Real Time. This webinar will explain current issues agencies are experiencing including utilization and visit planning, missed visits, interdisciplinary communication, and […]

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New NAHC Webinar: Therapy in PDGM

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NAHC will present a new webinar, Therapy in PDGM, on Wednesday, March 4, 2020 from 1:00 to 2:30 PM Eastern Time. This new webinar is the fourth in the six-part series, PDGM in Real Time. This webinar will discuss current challenges agencies may be experiencing with providing therapy under the PDGM model. We will also […]

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CMS Open Door Forum: Updates on PDGM, Claims Processing Issues, Quality & More

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On February 26, the Centers for Medicare & Medicaid Services (CMS) held its monthly Home Health, Hospice and DME Open Door Forum (ODF).  Following are updates related to the home health agency portion of the call. PDGM CMS reviewed two MedLearn (MLN) Matters articles recently issued that provide information and education on the Patient Driven […]

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Find Out How to Make PDGM Work for Your Agency

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Register now for one of these can’t-miss events! From March 30 through April 14, 2020, the National Association for Home Care & Hospice (NAHC) will present a series of 12 intensive one-day Summits across the country, featuring the industry’s top experts using the latest real-time data to explain how the Patient Driven Groupings Model (PDGM) […]

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New NAHC Webinar: Maximize Cash Flow During PDGM Crunch

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NAHC has expanded its webinar capacity to accommodate huge public demand! The third in NAHC’s PDGM in Real Time webinar series, Cash Flow and LUPAs, will take a further look into the methods required to maximize cash flow while going through the PDGM cash crunch, as well as explain the ways in which agencies can […]

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New CMS Open Door Forum to Focus on PDGM, Hospice Compare & More

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The next Open Door Forum hosted by the Centers for Medicare & Medicaid Services (CMS) will focus on hot topics like the Patient Driven Groupings Model (PDGM), Hospice Compare, home health and hospice quality reporting updates, and a lot more. The next Open Door Forum will take place on Wednesday, February 26, 2020 from 2:00 […]

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CMS Revises Provisional Period of Enhanced Oversight Program

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The Centers for Medicare & Medicaid Services (CMS) has revised their Provisional Period of Enhanced Oversight program to incorporate policies under the Patient Driven Groupings Model (PDGM) for requests for anticipated payments (RAPs). In February, 2019 CMS announced a Provisional Period of Oversight program that places home health agencies (HHAs) that are newly enrolled or […]

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