Implications for Home-Based Care Providers
in the CY 2021 Medicare Physician Fee Schedule
(MPFS) Final Rule
On December 1, The Centers for Medicare & Medicaid Services (CMS) released the long-awaited CY 2021 Medicare Physician Fee Schedule (MPFS) Final Rule. The MPFS Final Rule includes payment and policy changes that will significantly impact home-based care providers.

Review this HCCI blog post to learn more about the policy changes that will decrease reimbursement for home and domiciliary visits and eliminate recent “wins” around telehealth services. More importantly, find out what you can do now to provide critical feedback to the Department of Health & Human Services (HHS) on these changes and their projected impact.
Why do you love house calls?
At HCCI, we’re honored to work with so many caring home-based primary care (HBPC) providers and practices, and other healthcare leaders. This also puts us in the unique, and wonderful, position of hearing how house calls give back.

In that spirit, we hope you enjoy this 2020 “I Heart House Calls” video compilation of those we’ve spoken to this year and asked, “Why do you love house calls?” HCCI’s "I Heart House Calls" campaign illustrates the power of this innovative type of care − and the connection it provides − for patients, caregivers, families, providers, practice staff, and others.

If house calls have impacted your life, please email your story to with “I Heart House Calls” in the subject line. We’ll share many of these stories next year.
Make More House Calls Happen − 
Double Your Gift Now
As a nonprofit, HCCI’s mission of helping HBPC providers and practices establish and expand home care offerings through education, consulting, research, and advocacy is driven by philanthropy. To help drive our mission, please consider donating to HCCI to support the following:

  • For patients and families, this means bringing medical expertise and healthcare technology into more homes, helping keep people out of hospitals, emergency rooms, ICUs, and nursing homes.
  • For caregivers, it means reducing anxiety, stress, feelings of isolation and the burdens daily caregiving can bring.
  • For doctors, nurse practitioners, and other clinicians, it means more opportunities to build deeper, more meaningful relationships with patients, family members and caregivers.
  • For the healthcare system, government, payers, and taxpayers, it means providing quality care that improves outcomes and reduces healthcare costs.

Four Ways to Donate:

  • Click here
  • Visit Support HCCI on our website
  • Call 630-283-9200
  • Mail a check payable to “HCCI” to the following address: Home Centered Care Institute, 1900 East Golf Road, Suite 480, Schaumburg, IL 60173

DOUBLE YOUR DONATION: If you donate now, the amount will be matched through a charitable gift made by a generous family.
New HCCI Conversations with… 
Connecting Data to Healthcare Delivery
and Contracting
In this new episode, Dr. Ahmed Morsy, Director of Clinical Operations for MD at Home, discusses connecting data with healthcare delivery and contracting, and the importance of caregivers, among other topics. In addition, he provides an update on MD at Home’s quality improvement project around depression screening conducted as part of a National Home-Based Primary Care Learning Network collaborative. You’ll also hear why Dr. Morsy loves house calls. Watch the full video here.
Apply for the next Learning Network Collaborative: Click here to access the Request for Application (RFA) to join the next collaborative focused on advancing quality improvement skills of home-based medical practices (submission deadline is January 8, 2021).
Help Extend the Independence at Home Demonstration
Consider taking just a few minutes to reach out through a pre-drafted email to your Congress person to extend and expand the CMS Independence at Home (IAH) medical house call demonstration project, scheduled to expire on December 31, 2020. This will help continue care for participating patients, increase the number of beneficiaries that may be enrolled each year, expand practice eligibility, and more.
HCCIntelligence Resource Center
At HCCI, we recognize the numerous challenges that can be encountered by HBPC providers and practice staff and the value of having access to knowledgeable experts and timely guidance. HCCI has developed a number of free and premium resources to help you and your practice through our HCCIntelligence™ Resource Center.
HCCIntelligence™ Webinar
Wednesday, January 20, 2021, 4 pm - 5 pm Central
  • Review CY 2021 Coding changes as a result of the Medicare Physician Fee Schedule (MPFS) Final Rule.
  • Discuss documentation requirements to ensure coding compliance.
  • Discuss the impact for providing virtual services beyond the Public Health Emergency (PHE).

  • Paul Chiang, MD – Senior Medical and Practice Advisor, Home Centered Care Institute, Medical Director, HomeCare Physicians
  • Brianna Plencner, CPC, CPMA – Manager, Practice Improvement, Home Centered Care Institute
HCCIntelligence Webinar Replay Available
Last month, HCCI hosted a webinar entitled, Introduction to Point-of-Care Ultrasound (POCUS) for the Home Care Provider. Click here to view the archived recording and presentation slides in the HCCI Learning Hub.
Practice Management Tip:
Coordinating Acute/Urgent Visits
Coordinating acute or urgent visit requests in an HBPC practice is essential to helping medically complex patients avoid hospitalizations and unnecessary emergency department (ED) visits. Consider these strategies for taking unexpected schedule changes in stride:
  • Develop a clear system for triaging patients to ensure the appropriate clinical staff member is evaluating the patient’s needs and gathering information for the provider. Many times, urgent matters can be resolved via a telehealth visit. Patients receive the care they need, and the practice earns a reputation for being accessible.
  • Since geographic scheduling affects both HBPC productivity and provider satisfaction, adopt scheduling strategies that make it easier to accommodate urgent visits such as:
  • Reserving one or two “open” appointments per provider per day
  • Designating a provider-of-the-day to handle acute/urgent visits
  • Prioritizing service area needs to help ensure a provider can be near each of your areas each day

While there is no one-size-fits-all solution for HBPC acute/urgent visits, reviewing urgent encounters as an HBPC team – including patient, caregiver, and additional family member input – will help you identify what worked, what did not, and what can be improved for the future.
HCCIntelligence™ is for educational and informational purposes only and should not be relied upon as medical advice.
Upcoming Education Opportunities
HCCI Live Virtual Workshops
April 15-16, 2021

Designed for learners considering, or relatively new to, offering HBPC services for patients with complex medical conditions.
Virtual Workshop Rate: $525 ($100 savings)
June 24-25, 2021

Designed for experienced HBPC providers and practice staff. 
Virtual Workshop Rate: $525 ($100 savings)
Attend Both Workshops and Save More

Save over $350 by registering for both courses above (April 15-16; June 24-25). Enrollment fee of $899 includes a free post-workshop, one-hour consultation with our experts for you and your team.
HCCI House Call Practicum
The HCCI House Call Practicum™ experience with the Cleveland Clinic Medical Care At Home Program offers a ride-along day with a house call provider, a shadowing day with the back-office support team, and an optional third day observing the telemedicine program. Click here to see the available 2021 dates. The Practicum adheres to all CDC guidelines.
HCCI Online Courses
Free through December 31, 2020
HCCI is offering free enrollment through the end of 2020 in our online course, Managing Multicomplexity in the Homebound Patient (0.50 credit). This special offer is provided through the generous support of The John A Hartford Foundation.

New Course on Wound Management
In the Wound Management for HBPC Providers course (.75 AMA PRA Category 1 Credits™), you’ll learn valuable strategies to help determine the etiology of a wound, document it accurately, and initiate a comprehensive plan of care.

Learn more about HCCI’s wide variety of additional online courses for HBPC professionals.
* REGISTRATION NOTE: New users of the HCCI Learning Hub will be asked to click “Create Account” to complete a one-time process to set up a learner profile before enrolling in activities or accessing resources and webinar replays.
HCCI In the News
HCCI education and training initiatives including HCCIntelligence™
are funded in part by a grant from The John A. Hartford Foundation.
Home Centered Care Institute
This email is an advertisement for the Home Centered Care Institute (HCCI). HCCI is passionately committed to its vision of
transforming our nation’s healthcare system by creating universal access to best practice house calls programs,
to ensure that chronically ill, medically complex patients have access to high-quality care in their homes.
Connect with HCCI