Advanced Search

Home Health & Hospice Week

Policy:

MedPAC Recommendations To Congress

Published on Fri Feb 18, 2011

In addition to imposing a copayment for home health agency episodes and keeping HHA payment rates flat in 2012, the Medicare Payment Advisory Commission makes four other recommendations for HHAs in its March report to Congress: 1. The Department of Health and Human Services and the HHS Office of Inspector General should conduct medical review in counties that have aberrant home health utilization and HHS should implement the new authorities to suspend payment and the enrollment of new providers if they indicate significant fraud. 2. Congress should direct HHS to begin a two-year "rebasing" of home health rates in 2013. (Expect big payment rate reductions from any rebasing project, home care experts warn.) 3. HHS should revise the home health case-mix system to rely on patient characteristics to set payment for therapy and nontherapy services and should no longer use the number of therapy visits as a payment factor. 4. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All