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HHS Office of Inspector General Work Plan for 2014

The Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for Fiscal Year 2014 provides brief descriptions of activities that OIG plans to initiate or continue with respect to HHS programs and operations. Focus areas include hospice, home health services, medical equipment and supplies and state claims for federal reimbursement. 

 

February 4, 2014

CHHA

Contracting for Home Health Services in Managed Care Plans

DOH posted a Dear Administrator Letter to the HCS outlining the requirements that need to be followed when home health services are being provided in a managed care plan.

January 28, 2014

CHHA

CMS to Host Webinar on the New Advance Beneficiary Notice for Home Health Agencies

Home health agencies are now required to use the Advance Beneficiary Notice of Noncoverage (ABN) (CMS-R-131).



January 7, 2014

CHHA

Revised LUPA Payment Methodology

For home health Medicare claims, CMS is instituting a revised payment calculation effective Jan. 1.

December 30, 2013

CHHA

New Reporting Requirement for Medicare Home Health Claims

Effective July 1, 2014, home health agencies will be required to report the attending physician's name and NPI on Medicare claims.

December 30, 2013

CHHA

UPDATED - Reminder: Call on Thursday to Review Medicare Program Manuals

The Dec. 19 call will focus on the Jimmo v. Sebelius "Improvement Standard" settlement agreement.

December 17, 2013

CHHA

Educational Campaign on the Jimmo v. Sebelius "Improvement Standard"

Next steps from the Jan. 24, 2013 U.S. District Court for the District of Vermont, approving a settlement agreement in the case of Jimmo v. Sebelius involving skilled care for the IRF, SNF, HH and OPT benefits.

December 10, 2013

CHHA

Proposed Rule on Episodic Pricing for Certified Home Health Agencies (CHHAs)

DOH published, in the Nov. 13 NYS Register (page 15), a notice of proposed rulemaking that exempts services to a special needs population from the episodic payment system for CHHAs and clarifies steps for a temporary adjustment to rates in case of CHHA closures, mergers, consolidations or restructurings.

November 18, 2013

CHHA

Revisions to the Home Care Medicare Benefit Policy Manual

New language more accurately reflects statutory definition of "confined to home."

November 12, 2013

CHHA

Medicare Learning Matters (MLN)
November 8, 2013
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