Home Health & Hospice

The Weekly roundup

Homecare Insider, September 14, 2015

CMS’ Center for Medicare and Medicaid Innovation announced earlier this month the Medicare Advantage Value-Based Insurance Design (MA-VBID) model, an initiative that allows Medicare Advantage plans to offer clinically-nuanced benefit packages to beneficiaries with the intention of improving quality of care while at the same time reducing health spending. The program would also lessen the cost sharing burden on plans when they partner with “high-value providers” across the continuum to deliver services—a component of the model that seems like additional incentive for home health agencies to boost performance on key quality indicators. Click here to access CMS’ full announcement.
After sending multiple requests to CMS for clarification on whether home health and hospice providers will be granted the same ICD-10 coding flexibility permitted to physicians, the National Association for Home Care & Hospice (NAHC) received a negative response from CMS. Click here to read CMS’ full reply and NAHC’s latest stance on the subject.
CMS recently revised section 2185 of the State Operations Manual (SOM) to instruct existing home health agencies that intend to move from their surveyed and certified location to a new site or location within the current approved geographic area to notify their Medicare Administrative Contractor (MAC) within 90 days of the move. Prior to this update, which is detailed in Transmittal 146, the SOM required agencies to notify their MAC within 30 days of this event. Click here to read the full transmittal.