In The News

Renewed ABN Form

NAHC

Home health and hospice providers are reminded that the Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget for renewal.

The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. Providers may continue to use the ABN form with the expiration date of 6/30/23 until the renewed form becomes mandatory on 6/30/23. The ABN form and instructions may be found here in the downloads section.

The ABN, Form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied. The ABN is issued in order to transfer potential financial liability to the Medicare beneficiary in certain instances.

Guidelines for issuing the ABN can be found beginning in Section 50 in the Medicare Claims Processing Manual, 100-4, Chapter 30 (PDF).

 

The 2024 Hospice Proposed Rule: A View into the Future of Hospice

WellSky

On Friday, March 31, 2023, the U.S. Centers for Medicare & Medicaid Services (CMS), released the proposed payment rule for hospice providers for fiscal year 2024. CMS proposed to update hospice payments by 2.8% which would increase hospice payments by $720 million (compared to the FY2023 payments). In addition, there are important proposed updates to the Hospice Quality Reporting Program, the hospice certification process, the Hospice Outcomes and Patient Evaluation tool, and more.

Hospice regulatory expert Katherine Morrison RN, MSN, CHPN, recently presented an informational webinar that covered key elements of the proposed rule and explored the changes your team should understand as you prepare for 2024. If you missed it, you can watch it on-demand.

The 2024 hospice proposed rule is an important opportunity to see into the near future of hospice care. It’s also a time for hospice providers to consider the impact of the proposed changes and prepare well-informed comments. Comments to CMS must be received by May 30 to be considered for the final rule.

View Recording of Webinar

 

Medicare Proposed [ACCESS] Rule Webinar on May 25

Join the Home Care Association of America (HCAOA) and the Association for Home & Hospice Care of North Carolina (AHHC of NC) for an informational webinar on the Centers for Medicare and Medicaid's newly proposed rule on Thursday, May 25, from 11:00 a.m. - 12:00 p.m., EST.  

Legal expert Matthew Wolfe of Baker, Donelson, Bearman, Caldwell & Berkowitz, PC will discuss how the proposed rule would impact home care services in the U.S. and the development of HCAOA's comments to CMS.

This webinar is free and open to all home care providers. Registration is required.

Register for Free

 

In Wheelchair Win, CMS OKs Power Seat Elevation for Power Chairs

HomeCare News

Calling it a "landmark decision," the Centers for Medicare & Medicaid Services (CMS) announced May 16, 2023 that it had, for the first time, made power seat elevation for power wheelchairs eligible for reimbursement as durable medical equipment (DME). 

CMS said effective immediately, seat elevation for Medicare-covered power wheelchairs is now considered a clinically meaningful benefit to people with Medicare who perform transfers from power wheelchairs or use their chairs for mobility-related activities of daily living such as dressing, grooming, toileting, feeding and bathing. DME advocates, mobility manufacturers and members of the disability community had urged CMS to issue the Benefit Category Determination (BCD) and National Coverage Decision.

“For too long, many people who use a power wheelchair could not access everyday items in their homes and may have struggled to get in and out of their device,” CMS Administrator Chiquita Brooks-LaSure said in a statement. “This landmark Medicare decision to cover seat elevation is a major milestone that will improve the quality of life for so many who rely on this technology.”

Advocates called the decision a "win for wheelchair users and their caregivers." American Association for Homecare (AAHomecare), NCART, the ITEM Coalition and a wide variety of mobility user groups pushed hard for the move, spurring more than 5,000 public comments in two response periods. 

Read Full Article

 

U.S. National Survey Data Show Hight Rates of New Cases and Persistence of Chronic Pain

National Center for Complimentary and Integrative Health

New cases of chronic pain occur more often among U.S. adults than new cases of several other common conditions, including diabetes, depression, and high blood pressure. Among people who have chronic pain, almost two-thirds will still have it the following year. These findings come from a new analysis of National Health Interview Survey (NHIS) data by investigators from the National Center for Complementary and Integrative Health, Seattle Children’s Research Institute, and University of Washington, published in JAMA Network Open.

Learn More

 
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