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Home Health Low Utilization Payment Adjustment Threshold: Bill Correctly

Palmetto GBA

In a recent report, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) found that Medicare improperly paid some claims for home health services with 5-7 visits in a payment episode. Review the Medicare Home Health Benefit and Home Health Prospective Payment System (PPS) booklets to properly bill for services slightly above the…

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Florida Legislature Passes COVID-19 Liability Protections for Health Care Providers

Today, the Florida House of Representatives passed Senate Bill 7014, COVID-19-Related Claims Against Health Care Providers. The legislation extends the COVID-19 limitations of liability for health care providers, including home health agencies, through June 1, 2023. Click here for a detailed analysis of the legislation. The House of Representatives voted 87-31 to pass the measure, which was approved…

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CMS Submits OASIS-E to OMB

Courtesy of the National Association for Home Care & Hospice (NAHC) The Office of Management & Budget (OMB) has issued the information collection packet for the Outcome and Assessment Information Set (OASIS)-E, which includes three attachments and the Supporting Statement document outlining the burden estimate for both home health agencies and the federal government. The OASIS-E assessment…

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CMS Home Health, Hospice & DME Open Door Forum Scheduled for Thursday, February 24

The next Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice & Durable Medical Equipment Open Door Forum (ODF) is scheduled for Thursday, February 24, 2022, at 2:00 PM ET. Please call at least 15 minutes prior to the forum start time. The following agenda is subject to change. Opening Remarks (Chair – Brian Slater, Center…

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CMS Provides Quality Reporting and Other Updates in February Open Door Forum

Courtesy of the National Association for Home Care & Hospice (NAHC) During the Centers for Medicare & Medicaid Services (CMS) recent Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF) held on Thursday, February 24, the following information and updates were provided for Medicare-certified home health agencies. Notice of Admission (NOA) CMS…

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State Lawmakers Set to Increase Medicaid Reimbursement as Budget Negotiations Get Underway

Florida lawmakers began formal budget negotiations today. Bolstered by federal stimulus money and growing sales tax revenues, the Senate and House have pitched record spending plans. For fiscal year 2022-23, the Senate has proposed $108.6 billion while the House has proposed $105.3 billion. With the 60-day legislative session set to end on March 11, subject-area…

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