Home Health Care

MAY 29, 2024

Medicare Advantage (MA) – the offshoot of traditional Medicare that’s administered by private insurance companies – has recently caught a lot of flak. Centers for Medicare & Medicaid Services (CMS) has been collecting feedback on the MA program through a request for information (RFI) process.

Medicare 107

Medicare Rehabilitation Medicaid Accountable Care 107

Briggs Healthcare

JULY 11, 2022

Post-acute care (PAC) represents an important component of the health care delivery system in the United States, with the Medicare fee-for-service program spending more than $57 billion on these services in 2019 (The Medicare Payment Advisory Commission (MedPAC), 2021a). 2018; Barnett et al., 2019; Buntin et al., 2010; Chovanec et al.,

Medicare 98

Medicare Rehabilitation Nursing Hospitals 98

Home Health Care

APRIL 28, 2022

As was the case for much of 2021, the home health admissions growth we generated in Q1 came predominantly under our Medicare Advantage (MA) and managed care contracts,” Encompass Health President and CEO Mark Tarr said during a Thursday morning earnings call. There was a 4.9% The Enhabit spinoff. The plan to separate the $1.1

Medicare 101

Medicare Rehabilitation 101

HIT Consultant

JANUARY 18, 2023

What You Should Know: – Sharecare , the digital health company that helps people manage all their health in one place, today announced Ornish Lifestyle Medicine by Sharecare , the company’s Intensive Cardiac Rehabilitation (ICR) program, is now available through a virtual delivery model.

Medicare 98

Medicare Rehabilitation Nursing 98

Briggs Healthcare

MARCH 17, 2022

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2022, Consolidated June 2020 to March 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance.

Rehabilitation 75

Rehabilitation Medicaid Medicare Healthcare 75

Home Health Care

AUGUST 18, 2023

An extensive body of research exists highlighting the differences in post-acute care utilization between fee-for-service (FFS) Medicare beneficiaries and those enrolled in Medicare Advantage (MA). Of those, 815 beneficiaries were Medicare Advantage enrollees, with the remainder – 1,542 individuals – on FFS Medicare.

Medicare 88

Medicare Rehabilitation Medicaid Nursing 88

HIT Consultant

MARCH 21, 2022

Cardiac rehabilitation is indicated following a heart attack, heart surgery (stent placement, coronary artery bypass surgery, or valvular surgery) as well as for patients who chronically manage congestive heart failure or stable angina. Recora is redesigning heart health, beginning with cardiac recovery.

Rehabilitation 98

Rehabilitation Medicare Nursing Hospitals 98

Home Health Care

NOVEMBER 19, 2023

The Centers for Medicare & Medicaid Services (CMS) released its improper payment report last week. Overall, the Medicare fee-for-service (FFS) estimated improper payment was 7.38%, or $31.2 Those sectors were skilled nursing facilities, outpatient hospitals, inpatient rehabilitation facilities and hospice.

Rehabilitation 105

Rehabilitation Medicare Medicaid Nursing 105

Briggs Healthcare

MARCH 28, 2024

On March 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2025.

Rehabilitation 40

Rehabilitation Medicare Medicaid 40

Briggs Healthcare

APRIL 21, 2022

CMS has provided MLN4761491 – Medicare Modernization of Payment Software Fact Sheet (5-pages in length) for providers submitting institutional claims to Medicare Administrative Contractors (MACs). Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS is modernizing its grouping and code editor software.

Medicare 52

Medicare Rehabilitation Nursing Integration 52

Briggs Healthcare

MARCH 3, 2022

Learn about 2022 regulation changes to payment, quality, and policy for : Acute care hospital Hospice Skilled nursing facility Ambulatory surgical center Hospital outpatient Inpatient psychiatric facility Inpatient rehabilitation facility Long-term care hospital Durable medical equipment, prosthetics, orthotics, & supplies (New) Home health.

Medicare 52

Medicare Rehabilitation Nursing Regulations 52

Briggs Healthcare

APRIL 5, 2023

CMS is publishing this proposed rule in accordance with the legal requirements to update Medicare payment policies for IRFs on an annual basis. The FY 2024 Inpatient Rehabilitation Facility Prospective Payment System proposed rule (CMS-1781-P) can be downloaded from the Federal Register at [link].

Rehabilitation 40

Rehabilitation Medicare Regulations Medicaid 40

Sequence Health

NOVEMBER 16, 2021

One of these hoops is getting Medicare coverage for transitional care services like physical therapy following surgery, skilled nursing after hospitalization, and long-term rehabilitation programs. Today, we will take a look at how to get Medicare coverage for transitional care management services for your patients.

Medicare 52

Medicare Physical Therapy Rehabilitation Hospitals 52

p3care

NOVEMBER 7, 2023

The policy change perfectly aligns with the CMS’s plan for growth and the Medicare PI Program. Medicare CQMs for ACOs CMS has given the green light to the collection of Medicare Clinical Quality Measures (CQMs) for ACOs participating in the MSSP, specifically under the Medicare CQMs collection type.

Patient Safety 130

Patient Safety Rehabilitation Medicare Prevention 130

Home Health Care

SEPTEMBER 30, 2022

One question that has always loomed large, however, was how one payment system could be applied to skilled nursing facilities (SNFs), in-patient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs) and, of course, home health providers. The analysts also looked at the implementation issues of a post-acute care PPS.

Rehabilitation 90

Rehabilitation Medicare Nursing Hospitals 90

Home Health Care

JULY 14, 2023

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. The unfortunate catch-22 results in readmissions to hospitals and, perhaps, even being wait-listed for long-term care centers and rehabilitation centers. These cuts will actually increase total health care costs for Medicare.

Medicare 82

Medicare Home Care Rehabilitation Medicaid 82

Home Health Care

MAY 11, 2022

The highly fragmented home health industry has turned providers into commodities, at least in the eyes of Medicare Advantage (MA) organizations. Because there are so many providers looking to make managed care inroads, the rates home health operators receive from MA sources are typically far below what they get from fee-for-service Medicare.

Medicare 63

Medicare Rehabilitation Accountability Accountable Care 63

Briggs Healthcare

MARCH 16, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023 document so that all IRF providers have the benefit of the clarifications (..)

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Home Health Care

NOVEMBER 14, 2022

Care Compare – the all-in-one search tool for consumers seeking home health, hospice and other Medicare-reimbursed health care services – will now include new information on providers’ relationships with doctors and clinicians. Centers for Medicare & Medicaid Services (CMS) announced the update on Monday.

Rehabilitation 87

Rehabilitation Medicare Doctors Nursing 87

HIT Consultant

FEBRUARY 28, 2022

Patient care is covered by Medicare and is available under most major insurance providers. Founded in 2016, XRHealth is the first company to create virtual reality clinics that provide remote care to patients throughout the United States and is covered by most major health insurance companies as well as medicare.

Rehabilitation 98

Rehabilitation Remote Care Medicare Healthcare 98

Home Health Care

AUGUST 19, 2024

This article is a part of your HHCN+ Membership Home health providers have lately been hamstrung by payment rate cuts , staffing woes and Medicare Advantage (MA) penetration. The LTM Group, based in Dayton, Ohio, provides home health, personal care, hospice, and rehabilitation services through multiple locations.

Rehabilitation 88

Rehabilitation Home Care Medicare Prevention 88

Home Health Care

AUGUST 12, 2024

The company provides – through multiple locations – home health, personal care, hospice and rehabilitation services. The business was founded by Dr. Ruth Constant, who developed the first home health agency certified under Medicare in 1966. The deal will add over 500 team members and more than 1,000 patients to the company’s network.

Rehabilitation 89

Rehabilitation Home Care Medicare 89

Briggs Healthcare

MARCH 23, 2022

PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.

Medicare 102

Medicare Rehabilitation Medicaid Hospitals 102

Briggs Healthcare

JULY 28, 2022

The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1767-F) on July 27, 2022 that updates Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2023.

Rehabilitation 75

Rehabilitation Medicare Medicaid Healthcare 75

HIT Consultant

SEPTEMBER 2, 2022

A recent study showed that Luna’s outpatient in-home PT saves an average of $3,000 per case for post-surgical rehab for bundled care cases, equating to Medicare savings of 55%-70% per case. We are committed to an innovative, tech-enabled approach to rehabilitation.

Physical Therapy 98

Physical Therapy Rehabilitation Medicare Hospitals 98

Home Health Care

MARCH 2, 2023

Participating in home-based cardiac rehabilitation — following a heart attack or cardiac procedure — can help lower the possibility of death resulting from heart-related complications. Specifically, home-based cardiac rehabilitation led to a 36% decrease in death within four years of participation.

Rehabilitation 72

Rehabilitation Medicare Primary Care Integration 72

Home Health Care

OCTOBER 18, 2024

The Senate Homeland Security Permanent Subcommittee on Investigations (PSI) released a report on Thursday revealing that the nation’s three largest Medicare Advantage (MA) insurers have significantly increased the rate at which they denied seniors’ post-acute care from 2020 to 2023.

Rehabilitation 105

Rehabilitation Regulations Medicare Hospitals 105

Briggs Healthcare

APRIL 26, 2022

EVENT REGISTRATION OPEN for the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program. and the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) 5.0 for providers in the IRF and LTCH settings.

Rehabilitation 80

Rehabilitation Medicaid Medicare Hospitals 80

Home Health Care

JANUARY 12, 2023

In a unanimous vote Thursday, the Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2024. The commission — established by the Balanced Budget Act of 1997 — regularly meets as part of its mission to inform Congress on Medicare spending and policy.

Rehabilitation 84

Rehabilitation Medicare Quality of Care Nursing 84

Briggs Healthcare

MARCH 7, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Rehabilitation 75

Rehabilitation Medicaid Medicare Hospitals 75

Briggs Healthcare

MAY 27, 2022

TRAINING MATERIALS AVAILABLE: The Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program – Prerecorded Training Videos. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. and the LTCH CARE Data Set (LCDS 5.0) for providers in the IRF and LTCH settings.

Rehabilitation 81

Rehabilitation Medicaid Medicare Hospitals 81

Briggs Healthcare

SEPTEMBER 16, 2021

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, September 2021, Consolidated June 2020 to September 2021 document so that all IRF providers have the benefit of the clarifications to existing guidance.

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Briggs Healthcare

NOVEMBER 3, 2021

The corresponding CMS Fact Sheet provides these statements: “Today, the Centers for Medicare & Medicaid Services (CMS) acted to improve home health care for older adults and people with disabilities through a final rule that would accelerate the shift from paying for Medicare home health services based on volume to a system that pays for value.

Rehabilitation 75

Rehabilitation Physical Therapy Medicare Nursing 75

Healthcare It News

MARCH 8, 2023

At the other end of the age range, speech therapists can provide virtual care to seniors and Medicare Advantage enrollees nationwide. Today, virtual speech therapy programs strengthen the health plan’s range and depth of services for members enrolled in both commercial and Medicare Advantage.

Rehabilitation 219

Rehabilitation Accountability Telemedicine Medicare 219

Briggs Healthcare

JUNE 21, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 Report to the Congress: Medicare and the Health Care Delivery System. You may go to our website at www.medpac.gov to view the 10 chapters of the report, or follow the links below.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Home Health Care

MARCH 14, 2022

The study was conducted between August and September of 2019 and used a pilot trial where 10 patients were randomly assigned to rehabilitation-at-home (RAH) care. That’s according to a study by researchers from Brigham and Women’s Hospital. Half of the patients were treated at their homes and half were treated at a SNF.

Home Care 121

Home Care Rehabilitation Patient Experience Hospitals 121

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52