Home Health Value Based Purchasing Moves a step closer to reality as Medicare contractors are directed to make changes needed to support the implementation of the Home Health Value-Based Purchasing project. Home health agencies that provide services in Arizona, Florida, Iowa, Maryland, Massachusetts, Nebraska, North Carolina, Tennessee, and Washington, will see their payments adjusted upward or downward by 3% starting in January 2018. This amount will increase each year up to 8% for calendar year 2022.
HealthWare has great tools to help you understand and more importantly effect your outcomes and VBP scores.Get more details on our Outcomes Services and then Contact Us for more information and a demonstration of our Outcomes and VBP dashboard.
You can read the full text of the CMS transmittal here: R3836CP
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In late May, Reps. Earl Blumenauer (D-OR) and Kenny Marchant (R-TX) introduced the Home Health Documentation and Program Improvement Act, H.R. 2663, in the House of Representatives. This bill serves as a long-awaited fix to the onerous face-to-face requirement. It also allows for a settlement on improperly denied claims due to the requirement.
Found in this article: “… a noticeable rise in approval rates was demonstrated once the home health agency’s record was considered alongside the physician’s patient record. We believe this is great evidence in proving the value of reviewing the entire patient record when determining claim status.”
HealthWare already helps HHAs view the entire patient record and determine claim status. Visit www.HealthWare.com
The entire NAHC article can be found here: http://www.nahc.org/NAHCReport/nr170814_2/
Date: August 4, 2017
SUBJECT: Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA)
EFFECTIVE DATE: January 1, 2018 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: January 2, 2018