CMS Announces a Demonstration on the Medicare Prior Authorization Proposed for Home Health Services

Posted on Tuesday, February 9, 2016 10:04 AM

CMS announced a demonstration program on Medicare home health prior authorization for Florida, Texas, Illinois, Michigan, and Massachusetts. The states are under the HHS/DOJ fraud program called H.E.A.T., except for Massachusetts. NAHC plans to reject the program because they believe the antifraud enforcement efforts are already targeted. The prior authorization program is expected to increase administrative costs with little or no return. The proposal is up for public discussion until April 5, 2016. Everyone is encouraged to put forth their comments, including those outside the targeted states. For the full article, click here.


About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!