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Home Health & Hospice Week

Survey & Certification:

BEWARE DROP-OFF SITES CONSIDERED UNAUTHORIZED BRANCHES

Published on Thu Jun 24, 2004

End of stepped-up review in sight for Texas wheelchair suppliers?

The termination of a Colorado home health agency's Medicare participation should serve as a warning against letting drop-off sites stray into branch territory.

Earlier this year, an administrative law judge upheld the termination of Boulder, CO-based Professional Home Health Care Inc. (see Eli's HCW, Vol. XIII, No. 17). One of the HHA's problems was an unauthorized branch that the agency contended was merely a "paperwork drop box."

The Centers for Medicare & Medicaid Services recognizes only a home health agency, parent, branch or sub-unit, declared a CMS official in the June 23 Open Door Forum. "We do not recognize any other offshoot of an agency," the staffer stressed.

If an agency wants to add a location, it should contact the CMS regional office and have it approved as a branch, the CMS official instructed.

Other issues raised in the forum include:

  • NPs in hospice. CMS has gotten its regulations on nurse practitioners serving as hospice attending physicians into the manuals, it says. A Medlearn Matters article on the topic is at www.cms.hhs.gov/medlearn/matters/mmarticles/2003/MM3226.pdf and the manual change is at www.cms.hhs.gov/Manuals/pm_trans/R15BP.pdf.

  • Texas wheelchair claims. CMS and durable medical equipment regional carrier Palmetto GBA are contemplating "modifying" the strict medical review imposed on power wheelchair claims from Harris County, TX, a CMS official says. If it feels comfortable reducing the Operation Wheeler Dealer-related review after close monitoring, changes could come in "the not-too-distant future," the staffer pledged.

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