Home health pre-claim review demonstration kicks off in Illinois

AHA News Now

The Centers for Medicare & Medicaid Services this week launched its Pre-Claim Review Demonstration for Home Health Services in Illinois, the first of five states that will participate in the three-year demonstration announced in June. In an effort to address a high documentation error rate and other... read more

Topic: Advocacy and Public Policy
Tags: Medicare, home health

CMS extends, expands non-emergency ground ambulance and home health moratoria

AHA News Now

The Centers for Medicare & Medicaid Services today announced the extension and expansion of moratoria on the enrollment of new non-emergency ground ambulance suppliers and home health agencies. Moratoria had applied to new non-emergency ambulance suppliers in specific metropolitan areas in Texas,... read more

Topic: Advocacy and Public Policy
Tag: home health

CMS releases home health proposed rule

AHA News Now

The Centers for Medicare & Medicaid Services today released the proposed rule for the home health prospective payment system for calendar year 2017, which, after all policy changes, would reduce home health payments by 1.0% from 2016 payment levels. CMS proposes a 2.8% market-basket update and 0.5... read more

Topic: Advocacy and Public Policy
Tags: Medicare, regulation, home health

CMS to initiate Medicare home health pre-claim review in five states

AHA News Now

The Centers for Medicare & Medicaid Services yesterday announced a pre-claim review demonstration for all Medicare fee-for-service home health services in Illinois, Florida, Texas, Michigan and Massachusetts. Start dates will be determined in the coming months, but will be no earlier than Aug. 1 in... read more

Topic: Advocacy and Public Policy
Tags: Program Integrity, Medicare, regulation, home health

House members urge HHS to withdraw home health prior authorization proposal

AHA News Now

Up to 116 members of the U.S. House of Representatives this week urged the Department of Health and Human Services to withdraw its proposed demonstration for prior authorization of home health services “to avoid health risks to patients, delays or disruptions in patient care and unnecessary restrictions... read more

Topic: Advocacy and Public Policy
Tags: Medicare, regulation, home health

AHA recommends CMS retool home health prior authorization proposal

AHA News Now

The AHA today urged the Centers for Medicare & Medicaid Services to replace its proposed prior authorization demonstration for home health services with more targeted and proven fraud-fighting interventions. The CMS proposal would subject all HH services in Florida, Illinois, Massachusetts, Michigan and... read more

Topic: Advocacy and Public Policy
Tags: regulation, home health

Improving Transitions from the Hospital to Home

Blog

A recent blog post for the New York Times highlights the important role caregivers have at discharge – the time of transition from hospital care to care at home and beyond.

In an effort to strengthen care transitions, the AHA’s Health Research and Educational Trust (HRET), through a grant from the Gordon... read more

Topic: Quality and Patient Safety
Tags: quality improvement, quality care, quality, patient safety, readmissions, Community health, patient and family engagement, care coordination, home health

CMS clarifies deadline for comments on home health prior authorization proposal

AHA News Now

The Centers for Medicare & Medicaid Services will accept comments through April 5, not April 11, on its proposal to establish a home health prior authorization demonstration, the agency said in a correction notice yesterday. CMS is accepting comments on its intent to collect information for the project,... read more

Topic: Advocacy and Public Policy
Tags: regulation, home health

CMS releases data on Medicare providers/suppliers; home health, ambulance use

AHA News Now

The Centers for Medicare & Medicaid Services today released data on Medicare-enrolled providers and suppliers, and a mapping tool showing the availability and use of ambulance and home health services by region. The provider data will be updated quarterly from the Provider Enrollment, Chain and Ownership... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Medicaid, home health

CMS proposes prior authorization demonstration project for home health

AHA News Now

The Centers for Medicare & Medicaid Services proposes to establish a demonstration project that would require prior authorization for Medicare fee-for-service coverage of home health services in Florida, Texas, Illinois, Michigan and Massachusetts, according to a recent CMS notice. The demonstration would... read more

Topic: Advocacy and Public Policy
Tags: Medicare, home health

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