The hospice final rule for Fiscal Year (FY) 2022 was issued on July 29th. This 226 page document–CMS-1745-F–addresses a number of changes including the hospice wage index, payment rates, and aggregate cap amount for FY 2022. Specifically, hospices who submit quality data will receive a 2% raise in payment rates. Hospices who do not submit…
Hospice Expansion
As the elderly population increases along with chronic and age-related diseases, the hospice industry is projected to expand over the next few years. In surveys performed by AARP and others, it’s not surprising to find that most adults have a preference to age in place as long as possible. Earlier this year, MedPAC reported a…
Public Health Emergency
The US Department of Health and Human Services has extended the COVID-19 Public Health Emergency for an additional 90 days effective July 20, 2021. This is the sixth renewal of the PHE since the pandemic was declared in 2020. In particular, the Delta strain of SARS-CoV-2 is now the dominant strain found in the US. …
Home Health Value-Based Purchasing
The Home Health Value-Based Purchasing Model has been in effect since 2016 for nine select states. As expected, the proposed home health final rule for CY 2022 has made plans to expand the model to all 50 states, territories, and District of Columbia next year. This program will be applicable to Medicare-certified home health agencies…
Review Choice Demonstration
The Review Choice Demonstration continues for Medicare home health services in selected states–specifically, Illinois, Ohio, Texas, Florida, and North Carolina. Here’s some of the latest news of RCD: Due to the lingering public health emergency, CMS has extended the phased-in participation for Florida and North Carolina until July 31, 2021. This allows the agencies in…
CMS Emergency Preparedness Testing Clarification
CMS continues to make clarifications to the Emergency Preparedness regulation. A revision to QSO-20-41-ALL was released on June 21, 2021 and was directed to State Surveyors. As previously established, outpatient providers of services, such as home health and home hospice, are required to test their program annually. In 2019, CMS changed the testing requirement for…
New Codes Added to ICD-10 Code Set
The coding addenda for fiscal year 2022 was posted on the CDC website on June 23rd. There are 159 new codes that were finalized and will be added to the ICD-10 code set on October 1st. One code that is included but was absent from the proposed code update is U09.9 (Post COVID-19 condition, unspecified). …
Emergency Preparedness Readiness
Hurricane season officially kicked off June 1st. With the formation of a Potential Tropical Cyclone system, designated by the National Hurricane Center, agencies and residents should prepare now for high winds and flooding rain. Utilize your emergency preparedness risk mitigation to put action steps into place in the event you should need to implement your…
Home Health RCD Top 5 Non-Affirmation and Claim Denial Reasons
Review Choice Demonstration (RCD) did not add any new requirements, but home health agencies are still struggling with the Face-to-Face (F2F) and getting an affirmation. Agencies need to remember that the F2F documentation must be “related” to the primary diagnosis (the primary reason for home care) and must be timely. This means that the encounter…
Hospice Survey Reform
The HOSPICE Act passed out of the House on December 8, 2020. In the version of the bill that will pass as part of the Consolidated Appropriations Act, 2021, routine hospice survey frequency will remain permanently at 36 months (as opposed to 24 months as proposed by the House). The OIG made the following recommendations related…
