Advanced Search

Home Health & Hospice Week

Reimbursement:

New Outlier Policy To Chop One-Third Of Outlier Episodes

Published on Fri Nov 04, 2016

Medicare reimbursement of outlier episodes to be based on 15-minute units starting in new year. Home health agencies’ pleas to adjust the new outlier calculation methodology fell on deaf ears, and the result may be decreased access for diabetic and medically complex patients. Old way: Currently, Medicare calculates outlier payments based on visits. Once an agency exceeds a Fixed Dollar [...]
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