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Illinois Congressional Delegation Asks CMS to Delay Pre-Claim Review

Earlier this month, CMS Administrator Andy Slavitt received a letter signed by every member of the Illinois Congressional delegation urging him to suspend the Pre-Claim Review Demonstration (PCRD) program in the state. Since the program began on August 3, providers have reported numerous improper care denials and technical issues with the state’s Medicare Administrative Contractor…

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Congress: Support the PUSH Act to Protect Seniors’ Home Health

Since the Centers for Medicare & Medicaid Services (CMS) rolled out pre-claim review for home healthcare in Illinois, providers across the state have encountered numerous delays and technical problems. Across the home health community, we’re already receiving reports of improper care denials from the Medicare Administrative Coordinators (MACs) that review Medicare home health claims. Several…

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National Seniors Poll Signals Opposition to Pre-Claim Review Policy

Recent data sponsored by Bring The Vote Home (BTVH) found that the large majority of U.S. seniors oppose Medicare policy that requires a government contractor to approve claims for physician-prescribed home healthcare services — those often recommended by doctors for elderly patients following hospitalization. While the data is concerning, as it proves that the…

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CMS: Rethink Pre-Claim Review for Home Health Services

By Colin Roskey, Executive Vice President of Partnership for Quality Home Healthcare The Center for Medicare & Medicare Services recently proposed a pre-claim review demonstration for Medicare home health services, upon which approximately 3.5 million Medicare beneficiaries depend. The Partnership is echoing concerns expressed by more than 120 bipartisan lawmakers to a previously proposed,…

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Home Health Leaders Applaud Introduction of Independence at Home Act

The Partnership commends U.S. Senators Edward J. Markey (D-Mass.), John Cornyn (R-Texas), Michael Bennet (D-Colo.) and Rob Portman (R-Ohio) for introducing the Independence at Home Act, which will convert the Independence at Home (IAH) demonstration into a permanent national Medicare program. The legislation has been lauded across the home health community for bringing primary…

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New Analysis Shows Role Home Health Plays in Reducing Readmissions

Last week the Alliance for Home Health Quality and Innovation released new data regarding the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive Care for Joint Replacement (CJR) Model. The data analysis, conducted by Dobson DaVanzo & Associates, comes just more than two months after CMS launched the bundled payment model for major joint…

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Honor Veterans by Protecting Access to Care

As Memorial Day approaches, the brave service men and women who fought so loyally for our country are in our minds and hearts. We show utmost appreciation for their sacrifices that have kept our country safe and free. Every day, home health agencies across the country strive to improve care and quality of life…

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Home Health Value Kit: The Human, Clinical and Fiscal Value of the Skilled Medicare Home Health Benefit

We are pleased to release a new Home Health Value Kit: a guide that provides comprehensive information on the value of the Medicare home health benefit. Home healthcare provides clinically advanced, cost effective post-acute and chronic care management in the setting patients desire most – their home. So it’s critical for lawmakers, their staff, and other…

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Five Reasons Prior Authorization Is Bad for Medicare Services

CMS is seeking comment on requiring prior authorization for Medicare home health, upon which approximately 3.5 million Medicare beneficiaries depend. Prior authorization means that a patient can’t receive the care her physician ordered unless and until a government official has reviewed that order (and a lot of other paperwork besides) and given it his blessing….

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Congress: Harmful Medicare Home Health Cuts Still Need Repeal

by former Congressman Billy Tauzin Winter break has officially ended and Congress is back in session gearing up for a busy 2016. As we inch closer to the election, both parties are lining up their priorities for the coming months. On the docket this week is a vote on a budget reconciliation bill…

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