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Hospice News
CMS UPDATES MEDICAID HOSPICE PAYMENT RATES
Volume 20.15 On September 14, 2020, CMS released Medicaid payment rates for FY 2021 (beginning October 1, 2020). The Medicaid hospice payment rates are calculated based on the annual hospice rates established under Medicare. These rates are authorized by section 1814(i)(1)(C)(ii) of the Social...
2020-2021 MEDICARE HOSPICE PAYMENT RATES FINALIZED
Volume 20.14 On July 31, 2020, the U.S. Centers for Medicare & Medicaid Services (“CMS”) released the final FY2021 hospice payment rule (“Rule”). The national hospice payment rates, subject to geographical application, and the hospice CAP will increase by 2.4% over the current payment rates. ...
THE HOSPICE COST REPORT AND COVID-19 PHE EXPENSES
Volume 20.13 The Hospice Cost & Data Report (“Cost Report”) was substantially modified in 2014 to facilitate the accumulation of hospice costs by level of care (“LOC”), as well as capture other information, which can be used in establishing Medicare reimbursement rates for hospice providers. ...
Healthcare News
CMS FINALIZES RULES INTENDED TO UPDATE PHYSICIAN SELF-REFERRAL REGULATIONS
Volume 20.37 Section 1877 of the Social Security Act ("the Act"), also known as the physician self-referral law or “Stark Law” prohibits: A physician from making referrals for certain designated health services (“DHS”) payable by Medicare to an entity with which he or she (or an immediate family...
PPP LOAN FORGIVENESS TAX IMPACT WILL BE IN 2020
Volume 20.36 Many healthcare providers are taxable entities and secured PPP loans. These providers, like other businesses, were taken off guard when the IRS determined that qualifying expenses would not be deductible once loan forgiveness was secured. Additionally, taxpayers hoped that...
PROVIDERS NEED TO PREPARE NOW FOR REPORTING USE OF PROVIDER RELIEF FUNDSPROVIDERS NEED TO PREPARE NOW FOR REPORTING USE OF PROVIDER RELIEF FUNDS
Volume 20.35 The Department of Health and Human Services (“HHS”) has released updated guidance on reporting the use of Provider Relief Funds (“PRF”). The updates provide some clarification regarding the upcoming reporting. Providers can follow their normal accounting method (cash or accrual) when...
Home Health News
REVISED HOME HEALTH AGENCY COST REPORT RELEASED (FORM 1728-20)
Volume 20.07 The Centers for Medicare & Medicaid Services (“CMS”) has released the revised Home Health Agency Cost Report, Form CMS-1728-20. The updated Cost Report will be effective for cost reporting periods beginning on or after January 1, 2020 and ending on or after December 31, 2020....
CMS TO RESUME “REVIEW CHOICE DEMONSTRATION”
Volume 20.06 Effective March 29, 2020, certain claims processing for the Review Choice Demonstration (“RCD”) for Home Health Services were paused in Illinois, Ohio, and Texas, because of the COVID-19 pandemic. During the pause, home health claims submitted on or after March 29, 2020, were not to...
COVID-19 PHE SERVICE MODIFICATION (WHAT COULD BE THE LONG-TERM IMPACT?)
Volume 20.05 Home health providers, like other providers, are dealing with a vast array of service changes resulting from the COVID-19 PHE. Strategic planning for the future must include consideration of the permanent service and revenue changes that may result. Hospitals, rural health clinics,...