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Category \ Regulatory


The nation’s healthcare system was severely tested in 2020, leaving many providers exhausted and hopeful that the new year would bring with it some relief. The Crystal Ball: 2021 Federal Legislative and Regulatory Outlook for Home-Based Care Agency Providers event … Keep Reading
The revised Hospice Quality Reporting Program (HQRP) took effect in 2021, with a new claims-based quality measure replacing the previous quality-based Section O measure pair. While hospice organizations can continue to record Section O data, adapting to the new quality … Keep Reading
The Consolidated Appropriations Act of 2021, a COVID-19 relief package months in the making, has passed and contains many benefits for hospice organizations. Still, it comes with significant changes that affect current business operations. Establishing and Enforcing the HOSPICE Program … Keep Reading
Good news for home healthcare organizations – more COVID-19 relief is on the way. The Consolidated Appropriations Act of 2021 has been signed by President Trump and will offer organizations much-needed assistance by extending some elements of the CARES Act … Keep Reading
Ending 2020 with good news, the Centers for Disease Control and Prevention (CDC) is coordinating distribution of recently approved COVID-19 vaccines through state health departments, networks of independent pharmacies and federal agencies, such as the Indian Health Service. Vaccine distribution … Keep Reading
The release of the Medicare Home Health 2021 Final Rule didn’t come without disappointment and frustration, although the changes are much more subtle compared to the implementation of the Patient-Driven Groupings Model (PDGM) a year ago. While the implementation of … Keep Reading
Home health organizations have a new hurdle from the Centers for Medicare and Medicaid Services’ (CMS) 2021 Final Rule: the no-pay RAP, which introduces penalties for untimely Request for Anticipated Payment (RAP) submissions. Organizations have many questions regarding submission requirements, … Keep Reading
Hospice interdisciplinary group meetings might be shorter (and less interdisciplinary) in 2021. The Centers for Medicare and Medicaid Services (CMS) is finalizing alterations to the Hospice Quality Reporting Program (HQRP), created to analyze hospice organizations’ reporting data in an effort … Keep Reading
A tsunami of change came when the Prospective Payment System (PPS), the method of reimbursement since 2000, was replaced with the Patient-Driven Groupings Model (PDGM) in January 2020. Thirty-day billing periods replaced 60-day periods, three areas are now reviewed for … Keep Reading
The recent elections were historic on many levels. While the election results were not immediately clear, the message from the American voters was. Access to healthcare, particularly during a worldwide pandemic, is paramount. Republicans and Democrats alike sent a mandate … Keep Reading
There are nearly 20 million veterans in the United States. Thirty percent of those veterans have multiple chronic conditions that can be managed by private duty care. These veterans typically don’t receive the care they need and spend more time … Keep Reading
Hospice and palliative care patients often have multiple symptoms that can make creating and following a plan of care difficult. The Edmonton Symptom Assessment Scale (ESAS) is a validated symptom rating tool that has been used extensively worldwide for nearly … Keep Reading

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