Home Health & Hospice Week
CHOWs Count Too For RAP Suppression
The official word is in: Provisional enhanced oversight does affect home care providers undergoing a CHOW. So indicates a newly revised Medlearn Matters article. “For the provisional period of enhanced oversight authority, ‘new’ providers includes all initial enrollments, changes of ownership (CHOWs) that fall under 42 C.F.R §489.18, and changes of information reporting a100 percent ownership change,” says a new sentence in the reissued SE19005. Why it matters: The Centers for Medicare & Medicaid Services began placing all “new” agencies under enhanced oversight after it issued the article back on Feb. 15. In a surprise move, CMS said it would suppress Requests for Anticipated Payments for agencies in that category. At the time, industry experts expected the RAP suppression to be merely the first step in CMS’s campaign to eliminate RAPs altogether (see Eli’s HCW, Vol. XXVIII, No. 8). Now the 2020 final rule has proven that prediction true (see related story, p. 318).
Home Health & Hospice Week
- Patient-Driven Groupings Model:
Final Rule Lowers Behavioral Cut — But Not Enough
Expect the cuts to keep on coming in the future. Home care providers are having [...] - Reimbursement:
HHA Rate Increase Holds Steady At 1.3%
PDGM to create winners and losers. A payment rate increase that would usually draw praise [...] - Billing:
That's A Wrap For RAPs
Medicare will eliminate advance payments altogether in 2021. If you aren’t on top of the [...] - Billing:
This Good RAP News Is Actually Bad News
NOA delay to 2022 isn’t the solution providers hoped for. If there was an idea [...] - Regulations:
Watch For Expansion Of OASIS To All Patients In Future Rule
Plus: Burdensome SPADE implementation, a maintenance therapy change, and more are on deck in final [...] - Hospice:
Is A 20% Cut To The Hospice Cap On The Horizon?
Reduction would disproportionately affect for-profit, freestanding hospices. If you butt up against your hospice cap, [...] - Industry Note:
Don't Look For PDGM Changes In 2020 Final Rule
You may find reasons, but not revisions. A sweeping new home health payment system takes [...] - Industry Note:
Kansas HHA Owes Millions After Audit, OIG Says
Once again, the HHS Office of Inspector General has backed off the number of claims [...] - Industry Note:
Hospices May Accept Drug Orders From PAs
While the red tape keeps mounting for hospices, there is a small snip to lend [...] - Industry Note:
Celebrate This Month
In the flurry of PDGM preparations, holiday scheduling, Review Choice Demonstration implementation looming, and more, [...] - Industry Note:
Tap New OASIS Training On GG0130A
While Medicare officials have just finalized plans to expand OASIS significantly with a host of [...] - Industry Note:
CHOWs Count Too For RAP Suppression
The official word is in: Provisional enhanced oversight does affect home care providers undergoing a [...] - Industry Note:
OASIS-D Specs Are Out
After a long wait, the OASIS-D data specifications have finally arrived. “The new version, V2.31.0, [...]
