Prepare Now for Health Equity Requirements in the Pipeline Background Equity and disparity have been ongoing issues in healthcare for years. But it took the COVID-19 pandemic to bring it into the spotlight at a federal level as a quality-of-care concern. The Centers for Medicare and Medicaid Services (CMS) posted a Preliminary Medicare COVID-19 Data Snapshot in June 2020, which included a facts sheet of aggregate data and visuals from Medicare Fee-for-Service claims data, Medicare Advantage encounter data, and Medicare [...]
CMS posted the proposed home health payment update rule on the Federal Register Public Inspection desk on June 17, 2022. The rule will be posted in the Federal Register on June 23. 2022. Medicare Program 2023 Home Health Prospective Payment System Summary of the rule: The proposed rule includes proposals and routine updates to the Medicare Home Health PPS and the home infusion therapy services’ payment rates for CY 2023, in accordance with existing statutory and regulatory requirements. CMS estimates [...]
Everyone has had their fair share of COVID and how it affected us not only on a personal level but on a professional level as well. We have found that some professionals are having difficulties transitioning back to #IRL. Let's talk about the last two years through the lens of a business development professional and a few essential action items you can execute to drive results. Pre-pandemic Life What were your sales strategies pre-pandemic? We had open access to [...]
February 4, 2020 By Jen Shepherd Federal Register Vol 84, No. 217 released November 8, 2019 Section 4: Home Infusion Therapy (HIT) Provisions The new Medicare home Infusion services benefit is provided in a Medicare beneficiary’s home. The beneficiary must be currently under the care of a physician, nurse practitioner or physician’s assistant. (Section 1861(iii)(3)(A)). CMS defines which drugs are approved for home infusion. The medication must be a parenteral drug or biological administered intravenously or subcutaneously for an [...]
February 19, 2020 By Jen Shepherd The Bipartisan Budget Act of 2018 (BBA of 2018) included several requirements for home health payment reform, effective January 1, 2020. These requirements include the elimination of the use of therapy thresholds for case-mix adjustment and a change from a 60-day unit of payment to a 30-day unit of payment. The mandated home health payment reform resulted in the Patient-Driven Groupings Model, or PDGM. The PDGM is designed to emphasize clinical characteristics and [...]
March 19, 2020 By Jen Shepherd On March 10, CMS released a memorandum regarding COVID-19 and Infection Control and Prevention for Hospices.