Home & Community Based Services

  • Home Health care compare January refresh

    January 26, 2023

    The January 2023 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters.
  • MACs send notice of Home Health claims being rejected

    January 26, 2023

    All three Medicare Administrative Contractors (MAC), NGS, CGS, and Palmetto, notified providers that CMS reactivated Reason Code (RC) 31755 effective Jan. 3 and some HH claims from January 2022 are being returned to providers due to billing errors associated with an artificial admission date not matching the 0023 revenue code line. Providers are advised to enter the date of the first covered visit during the period with Revenue Code 0023. For subsequent periods, providers are advised to report the date of the first visit during the period, regardless of whether the visit was covered or not covered.
  • Hospice quality reporting program quarterly update for fourth Quarter of 2022 is available

    January 26, 2023

    The Hospice Quarterly Update for the fourth quarter of 2022 is now available.
  • CMS releases updated information gathering report for Hospice Quality Reporting Program

    January 26, 2023

    CMS released the Hospice Quality Reported Program 2022 Information Gathering Reporting. This report provides information from literature reviews and expert interviews that supports expansion of the hospice quality reporting program.
  • MLN matters article reviews changes to home health rural add on for CY2023

    January 20, 2023

    Section 4137 of the Consolidated appropriations Act of 2023 extends the rural add-on policy by an increase of 1% of the payment amount made for home health services provided in the ‘‘Low population density’’ category for CY 2023. CMS released a Medicare Learning Network (MLN) article outlining the changes to current policy for providers.
  • GAO releases report recommending abuse and neglect changes in Hospice

    January 20, 2023

    A new report from the Government Accountability Office (GAO) found two gaps in the requirements for hospices, compared with requirements for extended care provided in hospitals and nursing homes, for reporting and responding to abuse and neglect allegations. Currently, hospices are only required to report allegations to state agencies responsible for monitoring hospices if: o the alleged perpetrator is affiliated with the hospice; o after the hospice has verified it as abuse or neglect based on an internal investigation that could take up to 5 days. Other settings are required to report allegations regardless of whether the alleged perpetrator is affiliated with the organization and prior to conducting their internal investigation. GAO recommended in the report that CMS require hospice care providers to report all allegations of abuse and neglect immediately to survey agencies, regardless of whether the alleged perpetrator is affiliated with the hospice. HHS neither agreed nor disagreed with GAO's recommendation.
  • LeadingAge PA Applauds Historic Investment in Long-Term Care for Seniors

    July 8, 2022