Home Health & Hospice Week
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 effect Jan. 1, but the payment and regulatory rule governing 2020 doesn’t make any changes to PDGM’s structure. Why? Many commenters on the 2020 proposed rule took issue with parts of the Patient-Driven Groupings Model’s mechanics, ranging from giving increased payment for institutional admissions to eliminating therapy visits as a case mix factor to shedding separate payments for nonroutine supplies. In the final rule, the Centers for Medicare & Medicaid Services supplies justification for many of the topics addressed, but doesn’t make any new changes to the model. That chapter closed with last year’s rulemaking cycle. In other words: “PDGM is still coming,” says attorney Robert Markette Jr. with Hall Render in Indianapolis.
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, [...]
