HOSPICE and PALLIATIVE CARE: CMS: Palliative Care and Hospice Can Now Apply to Primary Care First, CMS List Serve, October 24, 2019 – The U.S. Centers for Medicare & Medicaid Services (CMS) will be hosting two new webinars to help you learn more about the model and apply:
HOSPICE and PALLIATIVE CARE: CMS Delays Primary Care First Implementation to 2021, Hospice News, October 28, 2019 – Though the U.S. Centers for Medicare & Medicaid Services is now accepting applications to participate in the agency's new Primary Care First payment models, the agency has delayed the program's launch to 2021, as opposed to the original Jan. 1, 2020 date.
HOME HEALTH and HOSPICE: 2020 Ohio Minimum Wage Increased to $8.70 Per Hour. Ohio Department of Commerce, October 2, 2019 – As of January 1, 2020, the minimum wage for non-tipped employees in Ohio will rise from $8.55 to $8.70 per hour, a 15-cent increase. Any tipped employees will have their base pay go from $4.30 to $4.35 an hour.
HOME HEALTH: SE19005 – What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight, MLN Matters® Special Edition, October 25, 2019 – CMS will focus on new HHAs in all states and territories during the initial use of the provisional period of enhanced oversight authority. For the provisional period of enhanced oversight authority, “new” providers includes all initial enrollments, changes of ownership (CHOWs) that fall under 42 C.F.R §489.18, and changes of information reporting a100% ownership change.
HOME HEALTH: Request for Anticipated Payment (RAP) Overpayment Demand Letters, Palmetto GBA, Monday, October 28, 2019 – If your HHA has received a Request for Anticipated Payment (RAP) overpayment demand letter dated between October 7, 2019 to October 25, 2019, Palmetto GBA asks that you please disregard that letter and that no further action is required to remit a check payment or initiate a request for immediate offset.
RCD UPDATES –
ANNOUNCEMENT: OCHCH Weekly RCD Conference Calls
OCHCH recently launched an awareness campaign to provide your agency with the assistance, information, resources, and training you need to tackle the challenges of RCD and PDGM. This campaign is called OPERATION: tackle.
As part of OPERATION: tackle we are hosting weekly conference calls on RCD that started last week and will continue for the foreseeable future. These conference calls will provide an opportunity for us to share the latest developments of RCD, for you to share your challenges, and for our members to share best practices in a real time environment. Even better you will hear from national leaders and experts such as Bill Dombi, President of NAHC, as well as people in other RCD states.
The very first RCD call on October 25, 2019 went well. There were a lot of very technical questions, but overall it looks like there has been a decent affirmation rate thus far. The main issue that people are concerned about is with re-certifications. The other primary issue seems to be with the call center staff not knowing the proper regs and procedures, etc. OCHCH has brought these two issues to Palmetto GBA’s attention. When Palmetto has resolutions to these two issues we will share them.
Please read the October 25th RCD Call follow up information that was posted on the listserv.
DON’T MISS THIS OPPORTUNITY!! Please mark your calendars for EVERY FRIDAY @ 10am. THE NEXT CALL WILL BE ON FRIDAY, NOVEMBER 1 AT 10AM. The calls will last no more than an hour.
Call-in info is:
Login - https://web.telspan.com/go/ochch/ochchpdgm
Give us a call if you have any questions. Talk to you soon!
The RCD Demonstration started on September 30, 2019. All episodes of care, both initial and recertifications starting on or after this date are subject to the requirements of the choice selected.
DO YOU HAVE A RCD QUESTION?
FOLLOW THESE INSTRUCTIONS FOR THE QUICKEST WAY TO A LIVE RCD AGENT.
Press “0” at the main menu
Press “0” again
Press “3” for HHH
Press “1” for an RCD agent
All RCD provider questions must go through the Palmetto GBA Provider Contact Center (PCC) at 855-696-0705. However, if your questions are not being answered, you are not receiving a call back in a timely manner, or you need assistance to contact Palmetto GBA, PLEASE contact OCHCH by using firstname.lastname@example.org OR call 614-885-0434.
Find RCD Answers through the Review Choice Demonstration (RCD) for Home Health Services Frequently Asked Questions (FAQs)
Monthly Review Choice Demonstration (RCD) Provider Teleconference Schedule
(11/06/2019 and 12/04/2019)
STAY TUNED FOR FUTURE OCHCH EDUCATIONAL EVENTS!
NEW>>> PDGM UPDATES –
The following webcasts are hosted by the MACs:
This is the first of two collaborative webcasts about the Home Health Patient-Driven Groupings Model (PDGM), hosted by your Home Health Medicare Administrative Contractors (MACs), CGS, National Government Services and Palmetto GBA. This presentation will begin on Thursday, November 21, 2019 at 02:00 PM Eastern Standard Time. During this webcast, you will receive information to help your agency prepare to implement billing changes for the PDGM on January 1, 2020. PDGM is the Medicare payment model used to reimburse home health agencies. Please plan to attend.
This is second part of two collaborative webcasts about the Home Health Patient-Driven Groupings Model (PDGM), hosted by your Home Health Medicare Administrative Contractors (MACs), CGS, National Government Services and Palmetto GBA. This presentation will begin on Thursday, December 05, 2019 at 02:00 PM Eastern Standard Time. During this webcast, you will receive information to help your agency prepare to implement clinical changes for the PDGM on January 1, 2020. PDGM is the Medicare payment model used to reimburse home health agencies. Please plan to attend.