Helping to Protect the Home Health Industry
Providing oversight on regulations, government overreach, and financial operational fundamentals to improve financial outcomesProposed 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...
HH PPS Payment Rates and Profitability
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...
The 1099-MISC and Home Health
What to do when there is an error Because unfortunately, this is not an unusual situation for home health agencies! The 1099-MISC received by HHAs is incorrect more often than what one would think! The 1099-MISC Form 1099-MISC is a tax form that is used to report all...
Value-Based Purchasing vs Pay-for-Performance
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...
A Rare Face-to-Face Opportunity – in the Federal Register of July 29, 2016
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...
The Prior Authorization Requirement for Home Health
On Feb 5, 2016, CMS proposed a new regulation to establish a Prior Authorization Requirement for Home Health services provided in 5 select states: Florida, Texas, Illinois, Michigan, and Massachusetts The following was extracted from that notice: Type of...
Prior Authorization Requirement – Comments Submitted
Following is a copy of the comments that I submitted regarding the CMS proposal of establishing a Prior Authorization Requirement for all home health services in the five states noted (FL, TX, IL, MI & MA). I give anyone/everyone free rights to use my comments...
The HH PPS FINAL Rule for 2016 is available
CMS has issued the pre-publication version of: CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements today (10/29/15) at 4:15 pm. This is available at the Federal Register...
Financial Fundamentals in Home Health
Financial Fundamentals in Home Health: where have they gone? Financial Fundamentals in Home Health have greatly deteriorated since the inception of PPS. To succeed, HHAs will have to re-introduce them to their operations. Most HHAs do have some level of financial...