This section contains important advocacy and regulatory information for Not for profit Medicare certified home health service providers reimbursed under Medicare Parts A and B, Medicare Advantage and the Veterans Administration. LeadingAge provides updates on funding and regulations that impact Medicare Certified home health, research reports released about Medicare Certified home health, and resources and information to assist not for profit Medicare Certified home health providers to operate quality services and remain financially viable in a competitive market.
The Fostering Independence Through Technology Act of 2013 (S. 596) has
been introduced in the United States Senate by Senators John Thune
(R-SD) and Amy Klobuchar (D-MN). This bipartisan bill calls on the
Secretary of Health and Human Services to implement remote monitoring
pilot projects within Medicare to provide incentives to home health
agencies to use home monitoring and communications technologies.
"Use of Medicare Procedures To Enter Into Provider Agreements for Extended Care Services" is a proposed rule published in the Federal Register by the U.S. Department of Veterans Affairs (VA) on Feb. 13 that authorizes the VA to enter into agreements with adult day health care as well as other community-based extended care services and nursing homes. The proposed rule states that the VA’s payment under the agreement with the highest rates would serve as an incentive to encourage providers to enter into agreements with VA for the care of veterans.
Home Health: CMS Issues 2014 Prospective Payment System Final Rule
The U.S. Department of Health and Human Services Office of Medicare Hearings and Appeals (OMHA) has announced the temporary suspension of new administrative law judge hearings for Medicare claim and entitlement appeals. OMHA noted the backlog of 357,000 claims for Medicare services and entitlements already assigned to its 65 administrative law judges and the additional cases already pending assignment.
The Office of the Investigator General completed a study on the
requirement that physicians who certify beneficiaries as eligible for
Medicare home health services document as a condition of payment for
home health services that a face-to-face encounter with Medicare
beneficiaries needing skilled home health services occurred. LeadingAge
believes that the face to face encounter process needs to be
changed, and this change needs to reduce the administrative burden on
both home health providers and physicians, improve compliance with
documentation of home bound status and skilled need and continue to
address the incidence of Medicare fraud.