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Category \ Legislation


Author: Emily White
The Alliance for Home Health Quality and Innovation (the Alliance) – a non-profit, 501(c)(3) foundation committed to research and education about the value of home health care to patients and the U.S. health care system – today launched a research-based … Keep Reading
Late yesterday afternoon, CMS (the Centers of Medicare and Medicaid Services) broke their silence and announced that the new ICD-10-CM implementation date will be October 1, 2015. This information comes on the heels of passage of the Protecting Access to … Keep Reading
Rapid advances in healthcare technology and the economics of healthcare delivery are creating unprecedented opportunities for more healthcare services to be delivered in the comfort of patients’ homes. And not a moment too soon, because all studies point to growing … Keep Reading
Yesterday the US Senate passed a bill, HR 4302, which delays the implementation of ICD-10 for at least a year. The 64 to 35 Senate vote came on the heels of the US House of Representatives’ passage last Thursday to … Keep Reading
The new Patient-Driven Groupings Model (PDGM) takes effect January 1, 2020. An updated version of this article explaining the PDGM impact on a LUPA is available here. One Customer’s Experience A few weeks ago, a customer contacted our Support Center … Keep Reading
There is much talk about ICD-10 implementation, which is set to begin on October 1, 2014. However, many home health agencies are behind on their implementation plans and training according to the timelines set up by Medicare[1]. Not only are … Keep Reading
This blog article was featured originally on the Alliance for Home Health Quality and Innovation(AHHQI) website. Dr. Jack Lewin is the Chairman of the National Coalition on Health Care. Dr. Lewin is a primary care physician trained in internal medicine … Keep Reading
Palmetto GBA, the largest home health and hospice Medicare Administrative Contractor (MAC) has taken steps to suppress payments to home health agencies identified as having a “high number” of auto-cancelled Requests for Anticipated Payment (RAP). The National Association for Home … Keep Reading
ICD-10 will be here in a few short months.  The deadline for implementation is October 1, 2014.  Have you begun your ICD-10 implementation plan yet?  Do you know where to start? It is a very daunting task and overwhelming just … Keep Reading
The Center for Medicare/Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly update to their computer system and has instructed all Medicare Administrative Contractors (e.g. Palmetto GBA, CIGNA, NGS, Anthem) to hold all EOE … Keep Reading
On May 1, 2013, Phase two of Medicare’s ordering physician PECOS enrollment status audit will go into full effect. This enrollment audit, and PECOS– Provider Enrollment Chain and Ownership System, is part of the Affordable Care Act, section 6405. Beginning … Keep Reading
To help healthcare providers prepare for ICD-10, CMS has released new checklists and timelines for small and medium provider practices, large provider practices, small hospitals and payers. These resources are designed to give a high-level understanding of what the ICD-10 … Keep Reading

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