by John Reisinger | Mar 29, 2016 | CMS Proposed Rules, Prior Authorizations for Home Health Services
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...
by John Reisinger | Oct 30, 2015 | 2016 HH PPS Rule, FINAL Rule for 2016, Home Health PPS Rule
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...
by John Reisinger | Aug 15, 2015 | 2016 HH PPS Rule, 2016 PPS Payment Rates
With the publication of the Proposed Rule for CY 2016, back on July 10, 2015, the information necessary for calculating the changes in the 2016 PPS Payment Rates has been available. There’s a lot going on in this rule, but it ultimately boils down to...
by John Reisinger | Aug 13, 2015 | 2016 HH PPS Rule, Change in Wage Indices, Home Health PPS Rule
Changes in Wage-Indices for CY 2016: After the transitional period of the Service Areas/Wage-Indices (only applicable to 2015) there are now going to be 509 distinct Service Areas, each with their own Wage-Index (there were 445 services areas in 2014). Every year I do...
by John Reisinger | Aug 12, 2015 | 2016 HH PPS Rule, Home Health PPS Rule, Point Scoring Variables
Once again, CMS is proposing to change the Point Scoring Variables of the OASIS for 2016. This is an issue that I do have some concerns about, but as a financial person that is not clinically trained I do not feel that I am able to understand and address with the...
