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Category: Home Health Billing

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Home Health Billing

New Home Health OASIS-E Guidance Training Program from CMS

CMS is offering a virtual training program that provides instruction on the guidance for the Outcome and Assessment Information Set (OASIS)-E. This training is part of a comprehensive strategy to …

Behavioral Health Billing / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

HHS’ Office of Civil Rights Continues to Pursue HIPAA Right of Access Violators. Make Sure that Your Practice Stays Compliant!

The Office for Civil Rights (OCR) at HHS announced the resolution of eleven investigations in its HIPAA Right of Access Initiative, bringing the total number of these enforcement actions to …

Home Health Billing

All Home Health Agencies: Updated Draft OASIS-E Instrument Now Available from CMS.

The updated draft OASIS-E All Items Instrument is now available on CMS’ OASIS Data Sets webpage. A log of changes since posting in February is also available.  OASIS-E will be effective January …

Home Health Billing / MassHealth

Massachusetts Home Health Agencies – Important Regulatory Updates from MassHealth

MassHealth has released a draft of an updated Home Health Agency Manual that contains many significant changes. The draft is attached below. MassHealth previously conducted training on updates to the …

Home Health Billing

Home Health Agencies: Preview Reports and Star Rating Preview Reports for the July 2022 Refresh are Now Available in iQIES

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. This refresh resumes the reporting of all claims-based measures …

Home Health Billing

Massachusetts Home Health Agencies: Updates to the LTSS Provider Portal for Prior Authorization (PA) of Home Health Aide Services

An important reminder from MassHealth: MassHealth will be making updates to the LTSS Provider Portal related to PA submissions for home health aide services when provided by family caregivers. Effective …

Home Health Billing

All Home Health Agencies: Critical iQIES Update from CMS!

Please read this important update from CMS and share it with your staff: “CMS identified an iQIES system nuance that may affect your HHA’s Services Provided values that are displayed …

Home Health Billing / Home Health Today

Home Health Providers: VA Will No Longer Require RAPs or NOAs

CMS recently announced changes to claim processing requirements that affect the use of Requests for Anticipated Payments (RAPs) for home health care claims, including changes to submission timelines and late …

Home Health Billing

Important Update from Commonwealth Care Alliance (CCA): All CCA In-Network Home Health Agencies Must be Medicare Certified by January 1, 2023!

The Commonwealth Care Alliance (CCA) has announced that all in-network home health agencies must become Medicare certified by January 1, 2023. If your agency is already Medicare certified you should …

Home Health Billing

CMS Releases the 2022 Home Health Final Rule

Today CMS released the 2022 Home Health Final Rule. The rule finalizes a nationwide expansion of the successful Home Health Value- Based Purchasing (HHVBP) Model and makes updates to the …

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News & Updates

  • The COVID-19 Public Health Emergency (PHE) Will End on May 11, 2023. Start Preparing Now!
  • Enrollment from New Customers on Healthcare.gov is Up Nearly 40% Over Last Year. Remember to Verify Your Patients’ Information!
  • November 2022 Updates to Medicare’s Care Compare for Hospice Providers
  • HHS Releases New National Guidelines for Improving Youth Mental Health Crisis Care
  • Important New Resources for the Expansion of the Home Health Value-Based Purchasing Model (HHVBP)!

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    • The COVID-19 Public Health Emergency (PHE) Will End on May 11, 2023. Start Preparing Now!
    • Enrollment from New Customers on Healthcare.gov is Up Nearly 40% Over Last Year. Remember to Verify Your Patients’ Information!
    • November 2022 Updates to Medicare’s Care Compare for Hospice Providers
    • HHS Releases New National Guidelines for Improving Youth Mental Health Crisis Care
    • Important New Resources for the Expansion of the Home Health Value-Based Purchasing Model (HHVBP)!
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