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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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