CMS Article Provides Clarity on the Role of Therapy in PDGM

By:

The Centers for Medicare & Medicaid Services (CMS) posted a special edition MLN Matters article, SE20005 – The Role of Therapy under the Home Health Patient-Driven Groupings Model (PDGM). This article provides information on the continuing role of therapy under the newly implemented PDGM. While there has been a change to the case-mix adjustment methodology […]

Read More

NAHC to Host 6 New Free Webinars: PDGM in Real Time

By:

The National Association for Home Care & Hospice (NAHC) will present a new six part webinar series, PDGM in Real Time, that will cover the essential topics of the Patient Driven Groupings Model (PDGM) and also feature an open forum in which attendees can have their specific questions answered by the top PDGM experts in […]

Read More

The PDGM Education Your Agency Needs is Coming to You!

By:

The Patient-Driven Groupings Model (PDGM), the revolutionary new payment model, is finally here. Does your agency have the proper systems in place today to ensure its success tomorrow, and in the future? The National Association for Home Care & Hospice (NAHC), in partnership with the NAHC Forum of State Associations, the Home Care & Hospice […]

Read More

NAHC Plans Push to Protect Home Health Therapy under PDGM

By:

In advance of the official implementation of the Patient Driven Groupings Model (PDGM) for Medicare home health, the National Association for Home Care and Hospice (NAHC) met with regulatory experts from the trade associations representing physical and occupational therapists, as well as speech language pathology. The meeting focused on advocacy efforts to mitigate the more […]

Read More

CMS Updates Medicare Benefit Policy Manual for Home Health Agencies

By:

The Centers for Medicare & Medicaid (CMS) recently released Transmittal 265/Change Request (CR) 11577 Manual Updates Related to Calendar Year (CY) 2020 Home Health Payment Policy Changes, Maintenance Therapy, and Remote Patient Monitoring This CR updates the Medicare Benefit Policy Manual, (Publication 100-02), Chapter 7, to reflect policy changes finalized in the CY 2019 and […]

Read More

CMS Updates Claims Processing Manual

By:

The Centers for Medicare & Medicaid Services (CMS) has again updated Change Request (CR) 11081 – Home Health (HH) Patient-Driven Groupings Model (PDGM) – Split Implementation through Transmittal 4489. As previously reported, this CR has been updated more than once since its original publication in early 2019 (see previous NAHC Report coverage here and here). […]

Read More

Open Door Forum Summary: Updates on iQIES Transition Update and Home Health & Hospice

By:

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on January 8, 2020.  A summary is provided below, beginning with home health and followed by hospice. HOME HEALTH iQIES Transition CMS indicated in the ODF that it is aware of several issues with the iQIES […]

Read More

CMS Updates Review Choice Demonstration FAQs to Address PDGM

By:

The Centers for Medicare & Medicaid Services (CMS) has updated the Frequently Asked Questions (FAQs) and the Operational Guide for the Review Choice Demonstration(RCD)to include additional information on how the Patient-Driven Groupings Model (PDGM) will affect the demonstration. CMS updated the Operational Guide in early December  to include instructions for submitting documentation relate to PDGM, […]

Read More

The Year in Review: Home Health and Hospice in Congress in 2019

By:

Congress Actively Pursued Key Home Health and Hospice Concerns NAHC scored some big victories for patients and providers While 2019 was frequently marked by intense partisan wrangling in Congress, a year-end review by the National Association for Home Care & Hospice (NAHC) shows that elected officials still found time to pursue a number of issues […]

Read More

Home Health Reminder and CMS Update to PDGM Split Implementation Instructions

By:

REMINDER: Home Health RAPs Hold Medicare Administrative Contractors (MACs) typically hold claims for a brief period each quarter when they implement system releases. This January, home health Requests for Anticipated Payment (RAPs) are affected by implementation of the Home Health Patient-Driven Groupings Model. MACs will hold RAPs with From Dates on or after January 1, […]

Read More

Important Information for all HHA in Review Choice Demonstration under PDGM

By:

For those home health agencies that are part of the Review Choice Demonstration and have selected the Pre-claim Review (PCR) option, the long awaited CMS update confirming that HHAs will need to submit a PCR for each 30-day billing period has been posted.  CMS updated the RCD Operational Guide, Chapter 6, with the following: For […]

Read More

New NAHC Webinar: Last-Minute Tips to Master PDGM

By:

The Home Health and Financial Managers Association will provide a special live Update with the Experts to provide all home health operators with a final presentation on how to prepare for the Patient Driven Groupings Model (PDGM) when it takes effect on the first day of the new year. This special live Update with the […]

Read More