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Home Health 2022 Proposed Rule Highlights

Posted on: June 30, 2021

The Centers for Medicare and Medicaid Services (CMS) released the Home Health 2022 proposed rule on Monday, June 28, 2021. We're breaking down the details, enjoying the fireworks (including a slight increase in reimbursement!), and talking future of home health.

Most Notable Elements of the Proposed Rule

CMS is proposing a $310M increase in Home Health payments in 2022, which equates to an increase in payment by 1.8%! This proposed increase adjusts the 30-day payment base rate from $1901.12 to $2012.43. However, despite quite a bit of controversy and advocacy efforts to have the behavioral adjustments that were implemented in 2020 with the conversion to PDGM modified, they remain intact at a 4.36%.

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Tags: Home Health Agency, contract therapy, Proposed Rule

5 Essential Resources Expert Therapy Partners Should Have

Posted on: March 16, 2021

As more and more home health agencies shift to outsourcing their therapy services, it is important to understand the qualities that a great therapy partner should have. Certainly, therapy is an integral component of delivering quality care in the home and it’s critical to chose the right partner that can provide therapy expertise along with resources for success.

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Tags: Home Health Agency, contract therapy, outsourcing therapy

Advantages of Outsourcing Therapy for Home Health Agencies

Posted on: February 25, 2021

As home health agencies work to implement strategies to provide quality patient care while also reaching operational success, many agencies are outsourcing all or a portion of therapy services to a trusted partner.

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Tags: Home Health Agency, contract therapy, outsourcing therapy

Occupational Therapy Win for Home Health Start of Care Visits

Posted on: January 8, 2021

As most in the industry are aware, current Medicare policy does not allow occupational therapy alone to establish eligibility for home health services, unlike physical therapy and speech-language pathology. Occupational therapy plays an essential role in home health, but is currently only able to stand alone or continue services after an individual has been discharged from all other home health service.

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Tags: occupational therapy, PDGM, Home Health Agency

Understanding the Financial Penalties with Late RAP Submission in 2021

Posted on: November 24, 2020

As most home health providers are aware, beginning on 1/1/21 financial penalties will start to incur for any RAP (Request for Anticipated Payment) submission that occurs after 5 days from when a patient is admitted to home health services. Here is a breakdown of what this updated RAP submission will look like and exactly what financial penalties will occur:

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Tags: PDGM, Home Health Agency

Ensuring Financial Solvency with LUPA Mitigation and OASIS Scoring

Posted on: November 17, 2020

Reimbursement, revenue, payment, or better yet, the term “cash flow” seems to be on the mind of every home health agency in the nation today. Not only were agencies hit with the RAP reduction from 60% to a minimum 20% with the start of PDGM in January 2020; but the COVID-19 pandemic, which began in March, seemed to throw gasoline onto an already large cash flow fire by increasing the occurrence of LUPAs (Low Utilization Payment Adjustment).

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Tags: PDGM, Home Health Agency, LUPA

In a Year of Tricks, CMS Drops a TREAT with Home Health Final Rule

Posted on: October 30, 2020

CMS released the 2021 home health final rule on Thursday, October 29, 2020. HealthPRO Heritage at Home sorted through the mixed bag and found more treats than tricks!

There were minimal changes compared to the home health proposed rule that was released in July 2020. Probably the best news in the rule was the 1.9% aggregate increase (or $390 million) in reimbursement that agencies will realize in 2021. Although the increase was less than the original 2.6% increase that was in the proposed rule.

Other highlights from the final rule are as follows:

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Tags: PDGM, Home Health Agency, COVID-19

RCD Resumes for Home Health Services

Posted on: September 24, 2020

CMS began enforcement of Review Choice Demonstrations (RCD) on August 3, 2020. Home health providers in North Carolina and Florida were able to select their initial choice between August 3, 2020 and August 17, 2020. Home health in all demonstration states (Illinois, Ohio, Texas, North Carolina, and Florida) with billing periods beginning on or after August 31, 2020 will be subject to review under the choice selected.

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Tags: Home Health, PDGM, Home Health Agency

Home Health + COVID-19: Clinical and Financial Benefits

Posted on: September 15, 2020

While the medical industry learns to operate during COVID-19, HealthPRO Heritage at Home believes there has never been greater demand for home-based care options or recognition of the power and benefits of care delivered in the home, whether in person or through telemedicine.

The nationwide outbreak of COVID-19 has had a major impact on our healthcare system, and home health agencies across the country have been working hard to continue providing quality health care and services to their patients. Alongside the cost pressure of the 2020 Patient-Driven Groupings Model (PDGM) pressures, Medicare (CMS) continues to grow, with around 10,000 new individuals added to their roster every day.

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Tags: PDGM, Home Health Agency, COVID-19

Solutions for HHAs Amidst COVID-19 + PDGM

Posted on: April 9, 2020

HealthPRO Heritage at Home: PPE/Safety Update
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Tags: PDGM, Home Health Agency, COVID-19, Coronavirus