Notice of Admission

The Notice of Admission (NOA) is on the horizon for Medicare-certified home health agencies.  Beginning January 1, 2022, the NOA will replace the no-pay RAP.  This notification to Medicare will be a one-time requirement from admission to discharge (replacing the every 30 day no-pay RAP).  The same penalties apply for non-timely filing past the required…

COVID-19 Vaccination & Testing Mandates Suspended

On December 2, 2021, CMS released a memorandum from the Quality, Safety & Oversight Group (QSOG) and Survey & Operations Group (SOG) stating that CMS has “suspended activities related to the implementation and enforcement of the Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff  Vaccination pending future developments in the litigation. Accordingly, while these…

COVID-19 Vaccination & Testing Mandates

Two new COVID-19 vaccination mandates were released two weeks ago.  This is addition to the previously established OSHA Healthcare ETS and many state and local rules regarding COVID-19.  The information overload is real as you determine which rule or more than one rule applies to your organization.  But, here’s the short story on the two…

Home Health Value Based Purchasing

As you have probably heard, the Home Health Value Based Purchasing (HHVBP) model has been finalized in the Home Health Final Rule for next year and includes all home health Medicare-certified agencies across the United States, territories, and District of Columbia.  However, a change in the full enactment of the program was a happy announcement…

Home Health & Hospice Regulatory Updates

The first week of November has been newsworthy for the home health and hospice care sectors.  The Home Health Final Rule, CMS-1747-F, was released on Tuesday afternoon.   If that wasn’t enough to digest, both OSHA and CMS released rules on COVID-19 vaccination.  There’s a lot of information to be processed in the coming days.  However…

Home Health Final Rule

The home health final rule from CMS is expected to be released today.  Will it be full of tricks or treats for the home health industry?  No one knows for sure.  The expected treats are increases in the payment for agencies who submit quality data.  CMS is also establishing a permanent rule in which certain…

International Classification of Functioning (ICF)

Clinical documentation is a constant struggle as clinicians deal with tight time schedules due to increased responsibilities.  One effective way to justify and individualize patients’ information on homebound criteria and medical necessity, in particular, is through the use of ICF language.  ICF stands for International Classification of Functioning.  When examining the exact reason a patient…

Breast Cancer Awareness Month

October has long been designated as breast cancer awareness month.  This particular cancer is especially significant to the MAC Legacy organization as we have many friends and family who have been affected by this disease.  As we all reflect on breast cancer this month, we want to remind you to get screened.  A report from…

Hospice Election Statement Addendum

October 1st marked the beginning of the hospice fiscal year and implementation date of some changes detailed in CMS’ Hospice Final Rule.  One particular modification has to do with the Hospice Election Statement Addendum.  Hospices are now required to include a “date furnished” on the addendum and this date must also be recorded in the…