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.
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.
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.
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.
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.
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.