Top Home Health and Hospice Medical Review Denial Resources
From CGS: CGS monitors quarterly data for the top home health and hospice (HHH) medical review denial reasons. In addition to the quarterly data, you will find CGS and CMS …
Four Times as Many Medicare Advantage Plans Offer Palliative Care in 2020 than in 2019
Duke University’s Margolis Center for Health Policy has released a new study examining all the latest changes in supplemental benefits offered by Medicare Advantage Plans. Key among the changes is …
The Next CMS Home Health, Hospice & DME Open Door Forum
This Wednesday, January 8th at 2:00 PM Eastern Time (ET), CMS is hosting the next Home Health, Hospice, and DME Open Door Forum. This call will be Conference Call Only. To …
Hospice Provider Preview Reports – Two Weeks Left to Review!
From CMS: Hospice provider preview reports and Hospice CAHPS Survey provider preview reports have been updated and are now available. These two separate reports are available in your CASPER non-validation …
Alpha Test for the Hospice Outcomes & Patient Evaluation (HOPE) Assessment Instrument
From CMS’ Open Door Forum: “Abt Associates is currently recruiting hospice providers to participate in a field test (called an alpha test) of the new hospice patient assessment instrument, titled …
Hospice Provider Preview Reports Now Available
From CMS: Hospice provider preview reports and Hospice CAHPS Survey provider preview reports have been updated and are now available. These two separate reports are available in your CASPER non-validation …
MedPAC Recommends a 20% Reduction to the Hospice Aggregate Payment Cap
At MedPAC’s most recent meeting, it was revealed that they are recommending a 20% reduction to the Hospice Aggregate Payment Cap. MedPAC has pursued similar proposals in the past. Today, …
Appeals Demonstration Expanded to Home Health & Hospice
From HomeCare Magazine: On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further …
Hospice Nurses Often Fail to Meet the 14 Day Supervisory Visit Requirement
A new report from OIG found that RNs frequently do not visit Medicare beneficiaries’ homes every 14 days as required by law. OIG evaluated 189,000 high-risk registered nurse visit date-pairs from …
Stay on Target with the Hospice Comprehensive Assessment Measure
CMS has posted a document that articulates key information about the Hospice Comprehensive Assessment Measure. This one pager provides a visual to understand how the seven HIS measures contribute to …