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Category \ Regulatory


As Medicare home health and hospice growth continues in the United States, so too does scrutiny related to increased government spending for services under the Medicare program. While home-based care saves the United States healthcare system billions of dollars compared … Keep Reading
Long gone are the days of paper timesheets where a caregiver could simply write the date and time of a client visit, with the only verification being the client’s signature. With the introduction of electronic visit verification (EVV), a method … Keep Reading
The implementation of the no-pay Request for Anticipated Payment (RAP) did not come without its setbacks, both at the Medicare Administrative Contractor (MAC) and home health organization levels. The Centers for Medicare and Medicaid Services (CMS) is correcting internal system … Keep Reading
I was delighted to have three well-respected national home healthcare leaders join me in a candid conversation about their personal thoughts on leadership at a time of tremendous change and opportunity. These leaders – Edo Banach, Bill Dombi and Vicki … Keep Reading
What Is Private Duty Home Care? Private duty home care is known by many names, including private pay or custodial home care. It is just one subset of in-home healthcare in which caregivers provide a broad range of services that … Keep Reading
Effective January 1, the Centers for Medicare and Medicaid Services (CMS) implemented the Value-Based Insurance Design (VBID) Model for hospice and palliative care patients enrolled in Medicare Advantage plans. The new VBID Model requires hospice organizations to submit claims to … Keep Reading
Fee-for-service Medicare coverage for hospice care is no longer the only option for providers. Starting on January 1, 2021, the Value-Based Insurance Design (VBID) Model took effect to test the impact of care delivery and quality of care for palliative … Keep Reading
During most home care visits, caregivers are tasked with repetitive duties like administering medications and providing medical treatments. Since documentation of these tasks is mandatory and involves many tedious elements, caregivers often find themselves spending more time documenting an activity … Keep Reading
The Medicare Conditions of Participation (CoPs) for hospice care require hospice organizations to assess patients and their families’ spiritual needs and provide spiritual counseling if the patient chooses to accept these services. The State Operations Manual (SOM) Interpretive Guidelines instruct … Keep Reading
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

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