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Home Health

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.

We've featured some articles below, but be sure to check out all of our home health content.


Featured Content

OIG Study: Limited Compliance with Home Health Face To Face Encounter Requirement

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.

Home Health Electronic Clinical Template Developed by CMS

The Centers for Medicare and Medicaid Services (CMS) has developed a Suggested Electronic Clinical Template that includes a list of clinical elements that would allow electronic health record vendors to create prompts to assist physicians when documenting the Home Health (HH) face-to-face encounter for Medicare purposes. The Electronic Clinical Template is a good first step in facilitating the implementation of the face to face encounter.

What’s Next: A 5-Star Rating System for Home-Health Agencies

By the end of 2014 or beginning of 2015, the Centers for Medicare and Medicaid Services (CMS) will create a 5-star rating system for home-health agencies using a subsets of measures. LeadingAge continues to be concerned with the accuracy of the nursing home 5-star system, and we will be actively involved with reviewing and commenting to CMS on the home health 5-star system.

Fostering Independence Through Technology Act of 2013 Introduced in U.S. Senate

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.

Home Health Care Planning and Improvement Act Introduced

Rep.Allyson Y. Schwartz (D-PA) and Rep. Greg Walden (R-OR) introduced the Home Health Care Planning Improvement Act (H.R. 2504), bipartisan legislation that improves access to home health services under Medicare, especially for seniors living in communities where access to physicians is limited, including underserved urban and remote rural areas.