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  • OIG 2015 work plan to address home health payments, hospice setting specifics


    The Office of the Inspector General (OIG) recently released its work plan for fiscal year 2015, which will address several salient issues each for the home health and hospice communities.


  • CMS releases 2015 PPS final rule for home health

    On Thursday, CMS released the 2015 PPS final rule for home health, which heralds some good news for providers, particularly on the therapy reassessment and face-to-face fronts.

  • Jimmo continues on

    Medicare officials continue to cite an “improvement standard” as a reason for withholding benefits from Glenda Jimmo, whose 2012 legal victory was supposed to end this type of denial, Kaiser Health News reported Monday. The situation shows why both beneficiaries and providers are confused about current policy, and why some nursing homes continue to expect business-as-usual.

  • CMS Announces Two Medicare Quality Improvement Initiatives

    Today, the Centers for Medicare & Medicaid Services (CMS) announced two initiatives to improve the quality of post-acute care. First, the expansion and strengthening of the agency’s widely-used Five Star Quality Rating System for Nursing Homes will improve consumer information about individual nursing homes’ quality. Second, proposed new conditions of participation for home health agencies willmodernize Medicare’s Home Health Agency Conditions of Participation to ensure safe delivery of quality care to home health patients. 

  • ACO bill would waive 3-midnight rule for SNFs

    Certain Accountable Care Organizations would be able to send Medicare beneficiaries to a skilled nursing facility without a prior hospital stay under a bipartisan bill recently introduced in the House of Representatives.

  • LTC worker flu vaccination rates remain low

    Long-term care workers continued to have low rates of flu vaccination last season, despite there being 92% vaccination coverage overall among physicians and nurses, according to the CDC's FluVaxView website.

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