Home Health Care News March 15, 2021
Despite the once-in-a-generation COVID-19 pandemic, the home health industry’s transition to the Patient-Driven Groupings Model (PDGM) was pretty seamless.
Looking into the not-too-distant future, the U.S. Centers for Medicare & Medicaid Services (CMS) will now likely attempt to make modest tweaks to a handful of key areas, payment experts believe. The agency will do so while keeping its eye on what has so far been a highly problematic shift to the no-pay RAP, too.
The “no-pay RAP,” or Request for Anticipated Payment, went into effect at the start of 2021. Medicare administrative contractors (MACs) and others have struggled with the change, though they have known about the new billing requirement — part of CMS’s planned phaseout of home health pre-payments...
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