Replacement Wheelchair Equipment When Manufacturers Exit the Business
Hospice Payment Rates and Cap Updates
The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 13707, effective October 1, 2024, which introduces critical updates to hospice payment rates, the hospice wage index, and the hospice cap amount for the fiscal year (FY) 2025. These changes are essential for hospice providers to understand and implement as they impact […]
Separate Payment for Disposable Negative Pressure Wound Therapy Devices
Starting January 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will implement a significant change under Change Request (CR) 13244, which introduces separate payments for Disposable Negative Pressure Wound Therapy (dNPWT) devices under the Home Health Prospective Payment System (HH PPS). This update marks an important shift in how these devices are billed […]
Refining Home Health Payment Reductions for Quality Data Submission
The Centers for Medicare & Medicaid Services (CMS) has issued an important update through Change Request (CR) 13241, which becomes effective on January 1, 2023. This update is designed to enhance the accuracy and efficiency of payment processes for Home Health Agencies (HHAs) that do not submit the required quality data. The update fully replaces […]
CMS Update: Key Changes in Home Health Claims Processing Effective January 1, 2024
The Centers for Medicare & Medicaid Services (CMS) has issued an important update, Change Request (CR) 13225, set to take effect on January 1, 2024. This update aims to enhance the accuracy and efficiency of processing home health (HH) claims. Here’s what you need to know: Removal of the Edit Bypass for Condition Code DR […]
Corrections to Home Health Processing – Claims with Condition DR or Claims Receiving Admission Source Edits
The Centers for Medicare & Medicaid Services (CMS) has issued a new Change Request (CR) 13225, effective January 1, 2024, aimed at refining the processing of home health (HH) claims. This update focuses on improving the accuracy and efficiency of claims reporting condition code DR and handling admission source edits. Key Changes: Removal of Edit […]
