Industry Updates

/Industry Updates

News and information specific to the home health and hospice industries

June 2016

Notice of Nondiscrimination in Health Programs

By |2018-02-18T16:37:25+00:00June 17th, 2016|Ginger's Blog, Industry Updates - General, Uncategorized|

Effective July 18, 2016, all Medicare-certified healthcare organizations must notify patients about how they comply with nondiscrimination requirements. Section 1557 of the Affordable Care Act (ACA) prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities.

Medicare Home Health Pre-Claim Review Demonstration

By |2018-02-15T13:36:02+00:00June 8th, 2016|Billing, Industry Updates - Home Health, Lu's Blog|

Despite concerns from the home health industry about the burden of a prior authorization requirement and how it will restrict access to care, CMS will move forward with a three-year Medicare pre-claim review demonstration for home health agencies in five states as published to the rule posted in the Federal Register on June 8, 2016.

May 2016

FY2017 Hospice Wage Index and Payment Rate Update

By |2018-02-15T17:41:26+00:00May 1st, 2016|Industry Updates - Hospice|

As mandated by Section 3004(c) of the Affordable Care Act, Hospices have been collecting 7 Hospice Quality Reporting Program (HQRP) measures using the Hospice Item Set (HIS) since July 1, 2014. On April 28, 2016, the Centers for Medicare and Medicaid Services (CMS) published the proposed FY 2017 Hospice Wage Index and Payment Rate Update, which includes the addition of two new quality measures.

October 2015

Additional G-Codes Differentiating RNs and LPNs

By |2018-02-15T19:40:08+00:00October 21st, 2015|Compliance, Ginger's Blog, Industry Updates, Industry Updates - General, Industry Updates - Home Health|

On January 1, 2016, Change Request 9369 goes into effect, requiring that home health and hospice agencies use two separate G Codes when billing for skilled registered nurse (G0299) and licensed practical nurse services (G0300) to distinguish which service was provided during each visit. 

Are You Meeting the New Recertification Requirement?

By |2018-02-18T16:42:21+00:00October 6th, 2015|Documentation, Ginger's Blog, Industry Updates - Home Health|

Have your clinicians been complying with Change Request 9189 of the Program Integrity Manual (Pub 100-08) involving a new certification requirement that applies to recertifications? This update requires a statement on the recertification certification/plan of care by the certifying physician estimating how much longer skilled services will be required.

September 2015

Are You a 5-Star Agency?

By |2018-02-19T19:15:55+00:00September 1st, 2015|Industry Updates - Home Health, Lola's Blog, Quality|

The Centers for Medicare and Medicaid Services established the Home Health Compare (HHC) website on Medicare.gov as a key tool for patients and referral sources to use when choosing a home health care provider. The star ratings program was added to make the information easier to use and for consumers to be able to knowledgeably select home health providers.

August 2015

Face-to-Face Encounter Progress Note Template

By |2018-02-19T16:51:54+00:00August 17th, 2015|Documentation, Ginger's Blog, Industry Updates - Home Health|

CMS recently posted a proposed electronic progress note template that it developed for physician's to use to document and support the physician face-to-face encounter requirements. Because the form has not yet been approved by the OMB, use of the progress note is entirely voluntary and optional.

New Service Intensity Add-On (SIA) in Hospice

By |2018-02-19T17:39:05+00:00August 7th, 2015|Billing, Ginger's Blog, Industry Updates - Hospice|

Based on the FY 2015 Final Rule released on 8/5/2015, CMS implemented changes as to how hospice agencies are paid for the Routine Home Care level of care. Known as a Service Intensity Add-On (SIA) Payment will apply if a visit is made on a RHC level of care day during the last 7 days of life (and the beneficiary is discharged dead), anddirect patient care is provided by an RN or a social worker that day.