by John Reisinger | Jun 30, 2020 | CMS Proposed Rules, CMS Rule Making, Federal Register, Home Health PPS Rule, The Rule-Making Process, Uncategorized
First, I’d like to talk about what is called: the Rule Making Process. The Rule Making Process is what occurs to get a Proposed Rule finalized. For Medicare, CMS is the agency that proposes a rule; for example, the Proposed HH PPS Rule for CY 2021. CMS...
by John Reisinger | Feb 7, 2020 | CMS Rule Making, Financial Management, Home Health PPS Rule, Resource Utilization
A Common Misconception I am writing this post to clarify what seems to be a common misconception throughout the home health industry; something that I have heard dozens of times so far this year (and we’re only into early Feb) and that is: With the...
by John Reisinger | Feb 7, 2020 | Budgeting and Forecasting, Budgeting in Home Health, CMS Rule Making, Episodic Budgeting, Financial Management, Home Health PPS Rule, the Change in the PPS Payment Rates, The Rule-Making Process
food for thought As a financial consultant to the home health industry, I like to periodically share a free nugget or two of information, and today, I want to say something about the LUPA Thresholds under PDGM. There have been several significant changes regarding the...
by John Reisinger | Feb 27, 2017 | Financial Analysis, Financial Fundamentals, Financial Management, Home Health PPS Rule
Do HH PPS Payment Rates Impact Your non-Medicare Profitability? Home Health (HH) PPS payment rates to the industry are updated every year by the Centers for Medicare and Medicaid Services (CMS). How often are your non-Medicare payment rates updated? If your Home...
by John Reisinger | Feb 16, 2017 | Mandated Demonstrations, Value-Based Purchasing, Value-Based Purchasing Demonstration
Are they the same thing? There is a misunderstanding in the home health industry that the Value-Based Purchasing Demonstration is in fact Pay-for-Performance; albeit under a different title. Well, that perception is incorrect. The Value-Based Purchasing Demonstration...
by John Reisinger | Jul 29, 2016 | CMS Proposed Rules, Face-to-Face, Face-toFace, Uncategorized
Take advantage of this rare opportunity and participate in the Rule-Making-Process: Submit Comments In today’s Fed’l Register CMS has once again given the home health industry an opportunity to submit comments about the Face-to-Face (F2F) regulation; particularly in...