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Navigating the Home Health Proposed Rule and Its Impact on Your Agency

CMS wants to decrease Medicare reimbursement for home health by 4. 2 percent in 2023, applying a behavioral based reduction in pay that has been widely criticized in the industry as using unproven methodology.

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Vision to Virtual Conference

September 20, 2022 1PM-1:50PM-Charles M. Breznicky Jr. RN, MSN, MBA will present “Preparing for the Transition: Home Health Value Based Purchasing” REGISTER NOW

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Industry pushes back against proposed rule

6 steps for agencies hoping to mitigate impact of pay cut
Stakeholders and advocates are pushing back against the 2023 proposed rule for home health, hoping the outcry will bring some measure of relief from a 4. 2 percent pay cut looming for next year.

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Final hospice rule sets 3.8% increase for FY2023

Hospices will see slightly higher reimbursement than expected in fiscal year 2023 under a payment update set out by the Centers for Medicare and Medicaid Services (CMS) in this week’s final rule. The hospice payment update percentage is 3.

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CMS just corrected another NOA glitch

Almost eight months into Medicare’s requirement for a new Notice of Admission (NOA) for home health patients, the Centers for Medicare and Medicaid Services (CMS) continues to sort out associated glitches.

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New G codes proposed for telehealth, but no pay

As Medicare looks to begin tracking the number of telehealth visits by discipline without offering any reimbursement to home health providers, SimiTree consultants say providers need to find other value in virtual visits.

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Webinar: Follow the PIPR to VBP Performance Scores

In November, CMS introduced a helpful new report for home health agencies. The PIPR, which is the new acronym or Pre-Implementation Performance Report, provides home health agencies with data on their quality measure performance used in the expanded Value-Based Purchasing Model.

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Supreme Court turns away 10-state challenge to vaccine mandate

A legal challenge to the COVID-19 health care worker vaccination mandate by the Centers for Medicare & Medicaid Services (CMS) will not be heard by the U. S. Supreme Court. On Oct. 3, the U. S. Supreme Court turned away Missouri v.

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Shift in payors brings more work to billers

Agencies could be blindsided by new staffing demands A new dynamic is shaping up in the back offices of agencies of all sizes, where billers are seeing ballooning workloads based on increasing variation in payors, plans, and requirements.

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