Homecare Software Tag

EVV has been mandated for 2021 and beyond in New Jersey with a 2021 start date for some agency types. When is the official start date?  What types of care and organizations does it apply to, and what are the requirements? What company is the state approved aggregator and is NJ an open model state in terms of the EVV system your agency has to use? We'll get to the bottom of all these questions and provide answers in this edition of the ALORA blog with a spotlight on New Jersey Electronic Visit Verification

 Electronic Visit Verification has been mandated in the state of North Carolina with a 2021 start date for some agency types. When is the official start date?  What types of care and organizations does it apply to, and what are the requirements? Is NC an open model state in terms of the EVV system agencies have to implement? We will answer these questions and many more as we focus on NCDHHS EVV information. 

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:

States may be complicating non-physician certifications in home health care, as hospitalizations and homecare needs rise. In this edition of the Homecare Software blog...the CARES Act has made it possible for nurse practitioners, physician assistants, and clinical nurse specialists to certify eligibility for home health. This has facilitated movement in the home health care industry towards eliminating Medicare’s rigid physician certification requirements and policies. Congress first warmed to the idea of allowing non-physician certification in the early spring just as the COVID-19 pandemic was beginning to surge. At the end of the day, in spite of the federal government’s efforts, states by law have the final say when it comes to making these overtures into reality.

Following similar requirements born of the 21st Century Cures Act legislation, Electronic Visit Verification has been mandated in the state of Wisconsin. What is the official start date?  What care organizations does it apply to, and what are the unique requirements? Is Wisconsin an open model state in terms of the EVV system agencies must use? We will delve into all of these questions and then some as we hone in on EVV in the state of Wisconsin. 

Like many other states in 2019 and 2020, Electronic Visit Verification has come to Nebraska. When is its official start date?  What types of agencies does it apply to, and what are the specific requirements? Are home health care agencies free to choose whatever EVV software they desire? We answer all of these questions and more as we take a closer look at EVV in the state of Nebraska. 

The worldwide Coronavirus pandemic has caused ripple effects across numerous sectors of the global and local economies. A dramatic shift upwards in demand for homecare and medical care in general, has subsequently changed the way that healthcare is delivered and received on many fronts.

CMS Extends Moratorium Affecting New Home Health Care Agency Openings in Certain Cities

 

In this edition of the Homecare Software blog, we turn our attention to the CMS, and its crack down on fraud prevention in selected areas of the U.S. As of Feb 2015, the Centers For Medicare & Medicaid Services (CMS) has opted to extend a recently imposed moratorium on new Medicare home healthcare agencies for an additional six months. Also included within those affected by the moratorium are subunits and ambulance suppliers in many of the major cities targeted as part of the CMS’s ongoing efforts to end fraud in the industry.

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).