Pfizer Booster for High-Risk Workers

In a statement released earlier this month, the CDC said that high risk of occupational exposure, such as healthcare workers, may receive the Pfizer booster shot at least 6 months after the two-dose primary series, based on their individual benefits and risks. The agency’s Advisory Committee on Immunization Practices (ACIP) had previously voted 6-9 against recommending a booster in this population.

Home Health Value-Based Purchasing Model Could Mean a Bigger Role for Palliative Care

Home Health Care News

Earlier this year, palliative care advocates were hopeful that a formal benefit for community-based services would be coming soon.

While that hasn’t happened yet, the clear momentum around a reimbursement pathway for community-based palliative care has prompted more home health agencies and other providers to launch programs of their own. That’s a trend likely to accelerate heading into 2022, thanks to the proposed expansion of the Home Health Value-Based Purchasing (HHVBP) Model and recent legislative updates on Capitol Hill

CMS Clarification on Late or Missing Election Statement Addendum

At NHPCO’s request, the Medicare Administrative Contractors (MACs) requested clarification from CMS when a hospice does not provide a requested addendum or does not meet the timeframe requirements. NHPCO has prepared a Regulatory Alert (09/23/21) with the detailed answer from CMS. A summary of the CMS answer: If the addendum is not present or does not meet the requirements, only the claim that is flagged for review would receive a claims denial and it would not invalidate the entire election.

Help CMS Improve Your Experience with Provider Resources

CMS is conducting a study to help us improve your experience with resources about the Medicare program and correct billing. Please share your thoughts with us by taking this survey. Responses are confidential, and the survey should take about 10 minutes to complete. Thank you for your time.