tci Medicare Compliance & Reimbursement - 2006 Issue 13

HHAs: PPS Inaccuracy Should Preclude Freeze

Underpaid services could take a painful and inappropriate hit.One big reason not to pass a home health agency rate freeze in 2007 is structural problems with the prospective payment system, industry representatives argue.The Medicare Payment Advisory Commission acknowledges in its report to Congress the inaccurate distribution of HHA payments under the PPS."It's totally inappropriate for MedPAC to document the distributional shortcomings of the PPS system and then recommend an across-the-board reduction," argues Bob Wardwell with the Visiting Nurse Associations of America. "That will hit underpaid services equally with those perceived to be overpaid."Adopting a...

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