Home Health & Hospice Week
Find Out How Much Medicare Will Pay MA Plans For Hospice
Hospices can get some clues about reimbursement for the Medicare Advantage carve-in, but not the whole story. The Centers for Medicare & Medicaid Services has released the 2021 Hospice Capitation Racebook and Actuarial Methodology, “finalizing the CY 2021 hospice capitation rate development methodology under the hospice benefit component of the CMS Center for Medicare and Medicaid Innovation Value-Based Insurance Design (VBID) Model,” CMS says in a message to providers. The ratebook, available via a link at https://innovation.cms.gov/innovation-models/vbid, details how much CMS will pay plans for the hospice option. However: It doesn’t signify how much plans will actually pay hospices under the model.“Payments to hospices that contract to be in-network providers will be paid according to the contractual arrangement they arrive at directly with the MA plan,” notes the National Association for Home Care & Hospice’s Theresa Forster in a message to members.
Home Health & Hospice Week
- COVID-19:
Make A Judgement Call On NPP Orders
CMS document says NPP orders are OK, but where are the regs? Medicare has provided [...] - Compliance:
Untangle F2F Guidance For Telehealth, NPPs
Watch out: Make sure physician encounters include both audio and visual components. With the regulatory [...] - OASIS:
HHAs, Hospices Need More To Fight COVID-19
From lifting OASIS matching edits to prioritizing in-home workers for PPE, help is falling short. [...] - Hospice:
Rule Reveals More Hospice Election Addendum Details
Check out Medicare’s new model forms. Hospices would love for Medicare to put off the [...] - Regulations:
Model Forms Have These Problems
Do the forms need both related and unrelated diagnoses listed? In conjunction with its 2021 [...] - COVID-19:
PPE For Home Care Workers Grabs Headlines Nationwide
Franchisor launches website to help home care agencies procure PPE. Home health, private duty, and [...] - Industry Note:
Ohio HHAs Can Enter RCD Choices For Next Phase
Cycle 1 ended March 30. Medicare still has the Review Choice Demonstration on “pause” in [...] - Industry Note:
Find Out How Much Medicare Will Pay MA Plans For Hospice
Hospices can get some clues about reimbursement for the Medicare Advantage carve-in, but not the [...] - Industry Note:
CDC Revises Return To Work Guidance — Again
If you’re trying to nail down your policies and procedures for staff returning to work [...] - Industry Note:
MAC Offers New PDGM Tool
For agencies continuing to struggle with mastering the Patient-Driven Groupings Model at the same time [...] - Industry Note:
TPE Resumption Date Remains Cloudy
If you’re wondering when Targeted Probe & Educate medical review will resume, you’re not the [...] - Industry Note:
Hospital-Based Agency Undergoes Change
A home health agency formerly owned by multiple hospitals in Ohio has changed its name. [...]
