Helping to Protect the Home Health Industry
Providing oversight on regulations, government overreach, and financial operational fundamentals to improve financial outcomesPDGM and the LUPA Thresholds
This is a brief overview of the changes to the LUPA Threshold under PDGM.
PDGM and Therapy Services
Therapy services are still included in the home health benefit under PDGM: that did not change!
Conditions of Participation for Home Health
The Revised Conditions of Participation for Home Health On January 13, 2017, CMS had published in the Federal Register the revised and updated Conditions of Participation for Home Health. These new, revised Conditions of Participation (CoP's) for Home Health...
The Home Health Cost Report: A Flawed but Required Document
The Home Health Cost Report The Home Health Medicare Cost Report is a document that must be completed and filed annually by all home health agencies (HHAs). Failure to do so can result in the termination of all cash-flows from the Medicare program and can also...
Changes to the Home Health Cost Report for CY2016 and Beyond
There was a fairly significant change to the Medicare Home Health Cost Report for 2016. Do you know what that change was? Worksheet S-2-1 Worksheet S-2-1 is new to the Home Health Cost Report for CY 2016 (i.e., a fiscal year-end of 12/31/16)....
MedPac’s March 2017 Report to Congress
The MedPac Payment Policy Report The Medicare Payment Advisory Commission (MedPac) released their latest Medicare Payment Policy report to Congress on March 15, 2017. There are fourteen chapters and some additional administrative information in this report - see the...
Are Your Medicare Margins in Line with MedPac’s Assertions to Congress?
Do You Know Your Medicare Margins? Medicare Margins (as a % of Medicare revenues) have been bandied about for over a decade here in home health. The Medicare Payment Advisory Commission (MedPac) and CMS are the two biggest promoters of this metric. MedPac submits...
The Rule-Making Process
The Rule-Making Process is an opportunity presented to us in the home health industry to submit comments and/or concerns to CMS to try to influence a Proposed Rule or Regulation. The Rule-Making Process: An Unknown Opportunity I have worked in the Home Health &...
Proposed Notice From CMS About the Home Health Conditions of Participation
CMS is Requesting Emergency Clearance In today's Federal Register CMS has submitted a Notice in today’s Federal Register that they are requesting to be processed under the emergency clearance due their perceived belief that "public harm is reasonable likely in normal,...
Implementing a Unified Payment System for Post-Acute Care
MedPac Meeting March 2nd & 3rd, 2017 The Medicare Payment Advisory Commission (MedPac) has scheduled a meeting on March 2nd and 3rd of 2017 to discuss various aspects of the Medicare Program. One of the topics included is implementing a unified payment...