Agency Compliance

On June 21, the US Department of Labor's (DOL's) Occupational Health and Safety Administration (OSHA) issued the Emergency Temporary Standard (ETS). This federal update mandated home care agencies to implement new practices. The ETS was published to protect healthcare and healthcare support workers from occupational...

The White House recently said that the current public health emergency (PHE) would “likely” last through the entirety of 2021. For now, blanket waivers have relaxed industry regulations, offering provider relief, but it is not time to rest on your laurels. Wisdom dictates that agencies...

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Review Choice Demonstration

Top 3 Strategies For Success 

An update on the Centers for Medicare & Medicaid Services (CMS) website warns providers that they are continuing phase-in participation, through March 31, 2021, for Florida and North Carolina. This concession on the part of CMS allows agencies in these states some flexibility. 

On November 4, 2020 the Centers for Medicare and Medicaid Services (CMS) published the final rule for 2021. Overall the changes this year were minimal since this was the first year for the Patient-Driven Groupings Model (PDGM) and there is not enough data to support significant changes. Furthermore, the COVID pandemic affected industry operations which mitigated reform to the PDGM payment structure. Agencies should review the changes affecting their operations from the fifty-nine-page rule, but here is a quick glance at the updates:

Can home health care agencies bill Medicare Part B for outpatient services? 

 

Outpatient Therapy Services BillingYes. According to CMS, outpatient therapy services may be provided by a home health agency to patients who are not homebound or otherwise are not receiving services under a home health plan of care (POC). These services are not paid under the Home Health Prospective Payment System (HH PPS). The reimbursement for the outpatient therapy services is calculated using the Medicare Physician’s Fee Schedule (MPFS).

Choosing EVV Software

 

How do I choose EVV software?As the 21st Century Cures act moves to the forefront of home health agency staffs, many agencies find themselves trying to prepare for the inevitable. According to their official website www.medicaid.gov, all U.S states are required by law to implement an approved electronic visit verification system for all Medicaid-funded personal care services by January 1, 2020, and home health care services by January 1, 2023. Any non-compliant states will face financial penalties unless they have an authentic delay reason or burden which prevented their compliance.   To meet state requirements, when selecting a software vendor for EVV compliance, agencies performing personal care and home health services need to be sure to do their homework.

The Centers for Medicare & Medicaid Services (CMS) and State Survey Agencies (SSAs) are conducting targeted infection control surveys of select home health and hospice providers to ensure providers are following proper infection control practices during the COVID-19 public health emergency. Organizations are being identified for the surveys through collaboration with the Centers for Disease Control and Prevention (CDC) and the Health and Human Services Assistant Secretary for Preparedness and Response (ASPR).