FINAL RULE MAKES SIGNIFICANT CHANGES TO PPS PAYMENTS IN 2008
Written by mapolskis
On August 29, 2007, the Centers for Medicare & Medicaid Services (CMS) published the Final Rule (with comment period) in the Federal Register, updating and making major refinements to the Medicare home health prospective payment system (HH-PPS) for calendar year (CY) 2008.
Under the HH-PPS, Medicare pays home health agencies (HHA) based on a national standardized 60-day episode rate, which is adjusted for case-mix and wage index. To adjust for case-mix, the HH-PPS currently uses 80 category case-mix classifications to assign payments to a home health resource group (HHRG). IN the Final Rule, CMS makes a number of refinements to the HH-PPS methodology, including the following...
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