CMS releases revised manual instructions for billing under PDGM

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Transmittal 4378 SUMMARY OF CHANGES: This Change Request revises additional sections of Pub. 100-04, chapter 10, to support the implementation of the HH PDGM and creates new sections to describe the HH PDGM Grouper program. Follow the link to Transmittal 4378: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R4378CP.pdf

CMS has issued a final rule governing Hospice payment for FY2020.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare SUMMARY: This final rule updates the hospice wage index, payment rates, and cap amount for fiscal year 2020. This rule also rebases the continuous home care, general inpatient care, and the inpatient respite care per diem payment rates in a budget-neutral manner to more accurately align Medicare…… Continue reading CMS has issued a final rule governing Hospice payment for FY2020.

If your agency provides Hospice services, you might be interested in this announcement by CMS.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Recruitment Announcement – Focus Groups for Hospice Patient Assessment Instrument CMS is currently recruiting experienced hospice providers and clinicians to participate in focus groups to discuss and provide input as we develop a hospice patient assessment tool. All interested participants will be considered based on their…… Continue reading If your agency provides Hospice services, you might be interested in this announcement by CMS.

Start educating your staff now on the OASIS-D1 Updates Effective January 1, 2020

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Beginning January 1, 2020, changes to the OASIS data set and data collection guidance take effect, based on proposals finalized in the Calendar Year (CY) 2019 Home Health (HH) Final Rule, CMS 1689-FC. Changes include addition of two existing items to the Follow-Up assessment instrument (with…… Continue reading Start educating your staff now on the OASIS-D1 Updates Effective January 1, 2020

Providers beware, don’t let your claims be rejected!

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare TRANSITION TO NEW MEDICARE NUMBERS AND CARDS ICN 909365 December 2018 Why is CMS issuing new Medicare cards and new Medicare numbers? The law requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019.…… Continue reading Providers beware, don’t let your claims be rejected!

NAHC remains very concerned over significant “behavioral adjustment” in the proposed home health rule issued on July 11, 2019. See statement below from NAHC’s President William A. Dombi.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare “Statement of NAHC President William A. Dombi Regarding the Medicare Home Health Proposed Rule Issued Today”                                                             July 11, 2019 CMS late today issued the proposed rule for the 2020 payment model, PDGM, including rates of payment that would start January 1, 2020. The new payment…… Continue reading NAHC remains very concerned over significant “behavioral adjustment” in the proposed home health rule issued on July 11, 2019. See statement below from NAHC’s President William A. Dombi.

“Trump Administration Announces Steps to Strengthen Medicare with New Home Infusion Therapy Benefit and New Regulations that Put Patients Over Paperwork” What might this mean for home health agencies in the future?

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System (Home Health PPS) that keep the unique needs of patients first, with proposals to implement a new home infusion benefit for beneficiaries, increasing home-based care. This proposed…… Continue reading “Trump Administration Announces Steps to Strengthen Medicare with New Home Infusion Therapy Benefit and New Regulations that Put Patients Over Paperwork” What might this mean for home health agencies in the future?