Home Health Blogger

Home Health Billing: 2017 CMS Changes to Quality Reporting

Section 2(a) of the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) requires the public reporting of data on HHAs, Skilled Nursing Facilities (SNFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs) quality measures and...

Posted by Peggy Mathews on Nov 28, 2016

Home Health Care Billing: 2017 Changes Rebase the 60-day Episode

The Affordable Care Act directs CMS to apply an adjustment to the national, standardized 60-day episode rate and other applicable amounts to reflect factors such as changes in the number of visits in a home care billing episode,

Posted by Peggy Mathews on Nov 23, 2016

Home Health Billing: 2017 Payment Changes Announced by CMS

The Centers for Medicare & Medicaid Services (CMS) have announced final changes to the Medicare home health billing prospective payment system (HH PPS) for calendar year (CY) 2017 that would foster greater efficiency, flexibility, payment accuracy, and improved quality. Approximately...

Posted by Peggy Mathews on Nov 21, 2016

Home Health Billing: Pre-Claim Review Updates

The home health billing Pre Claim Request (PCR) CoversheetPDF was updated to include all the options available for submitting PCR requests. Please note that if you submit your request via myCGS, and want the PCR decision notification letter faxed to you, please include your fax number...

Posted by Peggy Mathews on Nov 16, 2016

Medicare Part-B Therapy Cap Values for Home Health Billing (CY) 2017

Medicare Change Request (CR) 9865, describes the amounts and policies for Medicare Bart B outpatient therapy caps for home health billing CY 2017. For physical therapy and speech - language pathology combined, the 2017 therapy cap will be $1,980. For occupational therapy, the cap for...

Posted by Steven Steggles on Nov 11, 2016

Home Health Management: HHS Plans Billing Changes

The Obama administration has recently announced that it would like to make some changes to the home health management billing systems. The plan seeks to tie 50% of fee-for-service Medicare reimbursements to alternative, quality0based payment methods by the end of 2018.

Posted by Nathan Hope on Feb 2, 2015