New at Noyce Consulting — Medicare

Tell NAHC About Your Probe and Educate Audit Results

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Has your Medicare administrative contractor (MAC) requested five home health patient records for pre-payment review?

Did the MAC deny payment for any of them?

What's your take on CMS' 2017 Hospice Proposed Rule?

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Submit your comments here if you see things in hospice differently than does CMS' proposals and the rationale for proposals in the FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (FY 2017 Hospice Proposed Rule) posted Thursday (4.28.16).

Your views could persuade CMS to write a more hospice-strengthening version for the FY 2017 Hospice Final Rule.


Survey Deficiencies May Expose Home Health & Hospice to False Claims Act Suits, Pending Supreme Court Decision

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NAHC announced today (20 April 2016) that the Supreme Court is considering arguments made yesterday (19 April 2016) that billing CMS for home health or hospice services implies that the billing agency complies with all Conditions of Participation.

"The U.S. Supreme Court heard arguments on April 19, 2016 in a case that has broad implications for any provider doing business with Medicaid and/or Medicare. . .


Deductibles, 20 Percent Copays for Hospice and Home Health? That's the plan.

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"Oops, Congress changed that. Hospice isn't covered at 100% any more. Your husband's nurse will collect your 20% hospice co-payment, each visit, Mrs. Jones. And the Social Worker will bring your final bill on the first bereavement visit."

A little harsh, I know. And a bit unthinkable. But in essence, that's the plan promoted at a House Ways and Means Health Subcommittee hearing Oct 16, 2016.


Home Health Can Save Medicare If We Demand a Seat at the Table

Arnold Goldberger

Medicare's "Independence At Home" demonstration is studying whether providing chronically ill patients with in-home visits by primary-care providers results in both enhanced care delivery and cost savings. I applaud this Obamacare gem.

I also believe the program should stretch further and partner with home health agencies to provide a full health-care package to the beneficiaries served, regardless of homebound status.