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Medicare Compliance & Reimbursement

Home Health Prospective Payment System:

CMS Expects Home Care Spending To Decrease

Published on Mon Nov 26, 2012


Your case mix and wage adjustment increase will decide your reimbursement.

Contrary to expectations, home health providers will find their payments moving downward slightly instead of increasing marginally, according to the home health prospective payment system final rule released Nov. 2.

The
Centers for Medicare & Medicaid Services had floated a base rate increase from the current $2,138.52 to $2,141.95 in 2013 in the proposed PPS rule back in July. Now CMS has finalized the base rate at $2,137.73, according to the final rule published in the Nov. 8 Federal Register. Episodes furnished to patients in rural CBSAs will have a 3 percent rural add-on, while agencies who fail to submit required CAHPS and OASIS data will be docked 2 percent.
 
CMS had estimated an inflation update of 2.5 percent for 2013, but more recent data showed an update of 2.3 [...]
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