Home Health & Hospice

Weekly Roundup

Homecare Insider, November 16, 2015

CMS to educate home health agencies on billing practices
Agencies will hopefully have more understanding of home health billing in the aftermath of the 2016 final PPS rule’s release. Medicare administrative contractors (MAC) will begin a probe and educate process on or after August 2015, to be concluded within a year. The process will involve selecting five claims for pre-payment review and deciding whether this sample meets requirements. Noncompliant claims will be denied with a letter of explanation and an offer for one-on-one educational phone calls. Click here to read more.
Overtime wages worry home health agencies
Although Home Health Care News is reporting that the rule that would require home health agencies to pay for overtime will not go into effect until late 2016, many providers fear the burden of the cost.
In New York, homecare agencies have called on the governor to release funding to help with the cost of overtime pay. In California, the state Department of Social Services has already announced that it will provide overtime pay to home health workers starting in February. HomeHero, a technologically advanced private care company, has begun charging clients more to cover overtime costs.
The U.S. Department of Labor estimates that homecare workers will get an additional $210 million a year under the new compensation rules.
2015 HomeCare Elite Winners Announced
National Research Corporation and DecisionHealth have announced the 2015 HomeCare Elite, an annual listing of the top-performing home health agencies in the United States.
HomeCare Elite is a review that identifies the top 25% of all Medicare-certified agencies and further highlights the nation’s top 100 and top 500 agencies. This year marks the tenth anniversary of the program.
Winners are ranked by an analysis of publicly available performance measures in quality outcomes, best practices implementation, patient experience, quality improvement and consistency, and financial performance. To be considered, an agency must be Medicare-certified and have data for at least three outcomes on Home Health Compare. The top 25% of home health agencies includes 2,431 that are Elite out of 9,718 considered this year. Click here to read more.