VNAA Member Hosts Meeting with CMS to Address Face-to-Face Requirement Challenges
Tuesday, July 19, 2016
by: Visiting Nurse Associations of America

Section: Public Policy and Advocacy

VNAA member, MedStar VNA, last week hosted representatives from the Centers for Medicare and Medicaid Services (CMS) to highlight challenges currently experienced by home health agencies due to the Medicare Home Health Face-to-Face Requirement, which would also likely be evident in the Pre-Claim Review Demonstration for Home Health Services. 
The MedStar meeting was a follow-up to a May meeting between VNAA, the Alliance for Home Health Quality and Innovation and the Partnership for Quality Home Healthcare and Dr. Shantanu Agrawal, Deputy Administrator and Director of the Center of Program Integrity for the Centers for Medicare and Medicaid Services (CMS). During the May meeting, VNAA, the Alliance and the Partnership invited CMS to visit with a member agency to provide a more accurate picture of the workflow and pain points currently experienced by agencies as a result of current and future documentation requirements in Face-to-Face and Pre-Claim. 
During the on-site meeting last Thursday, MedStar VNA presented the major areas of concern within the home health workflow: physician orders, patient care plans, patient visits, communication with the ordering physician and homebound documentation. Discussion during the meeting also covered areas of confusion and inconsistency with the Medicare Administrative Contractors (MACs). 
The offer for CMS to meet with a member agency highlighted VNAA efforts to collaborate with and continue to educate CMS on the administrative challenges associated with the Pre-Claim Review Demonstration. Overall, VNAA is pleased with the outcome of the meeting, but there is quite a bit of follow-up work, and VNAA will keep members updated with the results of this collaboration.  
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