Nurse Practitioners (NP)s, Certified Nurse Specialists (CNSs), and Physicians Assistants (PAs) (as those terms are defined in section 1861(aa) of the Act), can order and certify patients for eligibility under the Medicare HH benefit and establish a plan of care.
Read MoreOn November 28, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that announces policy changes under the Home Health (HH) Prospective Payment System (PPS), consistent with the legal requirements to update Medicare payment policies for home health agencies (HHAs) annually.
Read MoreOn October 1, 2025, CMS will launch iQIES functionality for HOPE assessment submission and reports.
Read MoreThe July 2025 OASIS Quarterly Q&As are now available on the CMS QIES Technical Support Office website.
Read MoreYesterday this bill passed through house health committee, however NPs were removed, allowing only PAs to certify HH.
Read MoreThe new standard, §484.105(i), requires home health agencies (HHAs) to develop and maintain a policy for evaluating new patient referrals.
Read MoreSince the current HHCCN does not expire until 12/31/2024, you may continue to use the HHCCN (OMB expiration date of 12/31/2024) until 1/31/2025 however, you will be required to use the newly approved HHCCN (OMB expiration date of 11/30/2027) on 2/1/2025.
Read MoreOn November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health Agencies (HHAs).
Read MoreNew MBIs could be released as soon as October 15-16
Read MoreCMS implemented edits to enforce a new rule that would deny hospice claims if the certifying physician entered in the Attending field on the claim is not in the Provider Enrollment Chain and Ownership System (PECOS) as an enrolled or opted-out physician.
Read MoreNAHC’s update on the state of the recent physician “hand off” requirement announced by Palmetto GBA
Read MoreReview & Correct reports can be accessed in iQIES by selecting “My Reports.”
Read MoreThe May 1 go-live date for the Medicare hospice certifying physician enrollment requirement is delayed until June 3.
Read MoreOne of the top medical review denial reasons for hospices is an invalid Medicare election statement. This statement is required for each Medicare beneficiary receiving hospice services. If the statement does not contain all the required elements it could result in claim denials.
Read MoreThe deadline to submit a recalculation request for the Preliminary July 2023 IPR is Wednesday, August 16, 2023.
Read MoreThe Final IPR will then reflect any changes resulting from approved recalculation(s).
Read MoreThe COVID-19 Public Health Emergency (PHE) which began in early 2020 will come to an end on May 11, 2023.
Read MoreCMS wants to make clear that with this transition to OASIS-E, there is no need for the use of artificial M0090 dates.
Read MoreCMS posted the 2023 HH PPS Final Rule on Monday, October 31.
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