When considering whether to impose a Medicare home health agency
enrollment moratorium in those states, "CMS should determine whether this moratorium should be imposed statewide or imposed in specific counties and/or metropolitan areas," Levinson says.
For beneficiaries using more than one home health agency
, the per beneficiary limitation will be prorated among the agencies" (105th Congress, 1997).
TABLE 1 MEDICARE/TYPE OF BENEFIT Fiscal year 1995 benefit payments in millions Total HI (Part A) $113,403 Inpatient Hospital 87,512 Skilled Nursing Facility 9,142 Home Health Agency
14,895 Hospice 1,854 Total SMI (Part B) 63,482 Physician/other Suppliers 40,376 Outpatient Hospital 14,576 Home Health Agency
166 Group Practice Prepayment 6,297 Independent Laboratory 2,067 Percent distribution Total HI (Part A) 100 Inpatient Hospital 77.2 Skilled Nursing Facility 8.1 Home Health Agency
13.1 Hospice 1.6 Total SMI (Part B) 100 Physician/other Suppliers 63.6 Outpatient Hospital 23.0 Home Health Agency
0.3 Group Practice Prepayment 9.9 Independent Laboratory 3.3 * Includes the effect of regulatory items, but excludes peer review organizations' (PRO) expenditures.
The home health agency
staff provide care according to your authorized plan of care.
While it might still be a year before your home health agency
needs to make the switch, waiting until the last minute for your OASIS and 485s conversions isn't a good idea.
"The acquisition of Rose Lane complemented our other assets, including a level I trauma center, two community hospitals, and a home health agency
, allowing us to further our continuum of care from prevention and wellness right through long-term care," explains Akron General spokesperson Joe Jerek.
Medicare offers limited coverage for home health visits and a Certified Home Health Agency
(CHHA) must provide these services.
Our goals are thus threefold: (1) to describe clearly the complex and differing reimbursement systems that various payors use to purchase home health agency
services, (2) to compare charges for these services across payors, and (3) to draw inferences about differences in payment levels across payors.
A patient treated in hospital by a primary care physician, three subspecialists in three different medical practices, and then at home by home health care, will probably receive bills from at least each physician, the hospital, and the home health agency
, not to mention anesthesiologists, radiologists, and referral laboratories that performed analyses of tissue.
The closest hospital and home health agency
are beyond reasonable commuting distance and there are no nursing homes in the area.
(NASDAQ: AFAM) has entered into an agreement to acquire the assets of the Medicare-certified home health agency
owned by Bayonne Visiting Nurse Association in New Jersey, the company said.