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HOME HEALTH PAYMENTS RULE RELEASED

Volume 22.06 On October 31, 2022, the Centers for Medicare & Medicaid Services ("CMS") issued the calendar year ("CY") 2023 Home Health Prospective Payment System ("HH PPS") Rate Update final rule, which updates Medicare payment policies and rates for home health...

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EMPLOYEE OR INDEPENDENT CONTRACTOR

Volume 22.05 EMPLOYEE OR INDEPENDENT CONTRACTOR The Department of Labor has released a “Notice of Proposed Rulemaking” (“Notice”) today, which proposes to modify Wage and Hour Division regulations relating to the determination of whether an individual is an employee...

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HOME HEALTH PAYMENT RATES FINALIZED

Volume 21.07 CMS has finalized 2022 home health reimbursement rates.  Standard rates have increased by a net 2.6%, which is the result of an inflation update of 3.1% reduced by a .5% productivity adjustment. The base 30-day rate increased to $2,031.64 from $1,901.12. ...

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2021 NAHC FINANCIAL MANAGEMENT CONFERENCE

Volume 21.03 Registration is now officially open for the 2021 Financial Management Conference (FMC 2021), the only conference designed specifically for financial professionals in the industry.  FMC 2021 is where future leaders build their careers and where the current...

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EXPECT SEQUESTRATION MORATORIUM TO BE EXTENDED

 Volume 21.01 Yesterday, the Senate passed legislation to extend the two percent (2%) moratorium on sequestration from Medicare payments until December 31, 2021.  The House will not be in session until mid-April, at which time it will be voted on by the House.  The...

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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...

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RAP SUPPRESSION FOR HHA OWNERSHIP CHANGES

Volume 20.03 With the implementation of PDGM, newly certified home health agencies (new providers), certified after January 1, 2019, are not entitled to receive partial episode payment based on a Request for Anticipated Payment (“RAP”).  Recently, CMS has clarified...

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