CMS ODF Addresses Home Health, Hospice Rules, Hospice Claims Processing
Posted: 08.18.15 | Category: Corridor Solutions
CMS held its Home Health, Hospice & DME Open Door Forum on August 12, 2015.
CMS representatives outlined changes that were included in the final hospice payment rule for FY 2016, which was issued on Friday, July 31. The staff highlighted the following:
- The final phase-out of the budget neutrality adjustment actor (BNAF) to the hospice wage index;
- Alignment of the accounting year for the hospice aggregate and inpatient CAPS with the federal fiscal year;
- Modification of the update factor for the aggregate cap to reflect the annual percentage rate update to hospice (rather than the CPI-U);
- Imposition of a two-tiered rate of payment for Routine Home Care (eff. Jan. 1, 2016);
- Implementation of a Service Intensity Add-on for skilled visits in the last 7 days of life (eff. Jan. 1 2016);
- Use of a single RHC rate from Oct. 1 – Dec. 31, 2015;
- Clarification that hospices are required to include all diagnoses gathered during the comprehensive assessment on hospice claims (including mental health disorders and other conditions affecting the plan of care) and regardless of whether the diagnoses are related or unrelated to the terminal diagnoses and related conditions.
HOME HEALTH: As part of the home health proposed payment rule for CY2016, CMS is proposing one new quality measure for CY2016 — skin integrity/the percent of patients with pressure ulcers that are new or worsened — to meet requirements under the IMPACT Act. CMS also proposed to raise the pay for reporting threshold:
- Beginning CY2016 payment determination, CMS is requiring 70 percent timely OASIS submissions for the July 1, 2015 – June 30, 2016 time period
- July 1, 2016 – June 30, 2017 HHAs must meet an 80 percent timeliness requirement for OASIS submissions
- July 1, 2017 through June 30, 2018, (and thereafter) HHAs must meet the 90 percent timeliness submission threshold for OASIS submissions.
Click here to read more home health and hospice highlights.
Tags: Corridor, Home Health, Hospice, IMPACT Act, National Association for Home Care and Hospice, OASIS, OASIS Coding
CMS Announces Medicare Care Choices Model Awards
Posted: 07.20.15 | Category: Corridor Solutions
Today, CMS announced the participants in a new model of care that empowers beneficiaries, their families, and clinicians by providing them greater flexibility in deciding between hospice care and curative treatment. The model is part of a larger effort by HHS to transform the healthcare system to deliver better care, spend money in a smarter way, and put patients in the center of their care to keep them healthy.
The Medicare Care Choices Model provides beneficiaries who qualify for coverage under the Medicare hospice benefit and dually eligible beneficiaries who also qualify under the Medicare hospice benefit to elect to receive supportive care services typically provided by hospice, while continuing to receive curative services.
The model is designed to evaluate whether Medicare and dually eligible beneficiaries would elect to receive supportive care services that are typically provided by hospice if they could also continue to receive curative services. Additionally, the model would test if providing both palliative and curative care concurrently impacts quality of care, as well as patient and family satisfaction.
Click here to read more from HHS.
Tags: Corridor, Curative Services, Home Health, Hospice, Hospice & Palliative Care, Medicare, Medicare Care Choice Model
U.S. House Of Representatives Passes Health Innovations Bill
Posted: 07.14.15 | Category: Corridor Solutions
The U.S. House of Representatives has passed the 21st Century Cures Act (H.R. 6)) by a vote of 344-77 on Friday, July 10. The legislation contains language of interest to home care and hospice providers and requires CMS to research methods to improve electronic health records, interoperability, and telehealth. The legislation also instructs CMS to report to Congressional committees of jurisdiction on means of expanding telehealth and barriers to its expansion in Medicare, and has a section on ensuring the interoperability of health information. The bill does not make any changes to current telehealth services provided by CMS, as currently written.The legislation has been praised as a “breakthrough initiative,” helping more people get the life-saving treatment they need. Stay tuned to the Corridor blog for updates regarding the status of this legislation.
Click here to read more.
Tags: 21st Century Cures Act, CMS, Corridor, Home Health, Hospice, Telehealth, U.S. House Of Representatives
NAHC Provides Summary Of CMS Home Health, Hospice, and DME Open Door Forum
Posted: 07.13.15 | Category: Corridor Solutions
CMS hosted its Home Health, Hospice, and DME Open Door Forum on July 8. NAHC has put together a summary of home health and hospice issues relating to the 2016 Home Health Payment Rate Update, Home Health Value-Based Purchasing (HHVBP), Home Health Quality Reporting Program (HHQRP), Outcome and Assessment Information Set (OASIS), Claims Processing, and Hospice Issues.
Click here to see the summary.
Tags: CMS, DME, Home Health, Home Health Payment Rate, Home Health Quality Reporting Program, Hospice, National Association for Home Care and Hospice, OASIS, OASIS Coding, Outcome and Assessment Information Set, Value-Based Purchasing
Medicare Plans To Pay Docs For Counseling On End Of Life
Posted: 07.09.15 | Category: Corridor Solutions
Medicare has announced plans to reimburse doctors for conversations with patients about whether and how they would want to be kept alive if they ever became too sick to speak for themselves. The new plan is expected to be approved and take effect in January 2016.
Medicare officials believe the new proposal “supports individuals and families who wish to have the opportunity to discuss advance care planning with their physician and care team.” More than ever, patients, family and providers are pushing to give people greater say about how they die.
The plan would also allow nurse practitioners, physician assistants, and physicians be reimbursed for face-to-face meetings with a patient and any relatives or caregivers the patient wants to include.
As the American aging population grows, a growing number of people are seeking options with their doctors and other qualified professionals on whether they want to die at home or in a hospital, and under what circumstances they would want life-sustaining treatment.
Click here to read more.
Tags: Aging Population, Corridor, end of life care, Home Health, Hospice, Medicare, Nurse Practitioner, Physician Assistants, Physicians