tci Medicare Compliance & Reimbursement - 2007 Issue 20

HOME HEALTH: Your Episode Calculations Are About To Get A Lot More Complicated

Prepare for major therapy threshold changes -- or face serious federal scrutiny.Home health agencies (HHAs) expecting a drastic change in how Medicare reimburses for home health therapy won't be disappointed by the prospective payment system refinements rule issued April 27.As expected, the Centers for Medicare and Medicaid Services (CMS) proposes changing the current 10-visit threshold to a staggered threshold at six, 14 and 20 visits. Further, CMS calls for "smoothing" payments for different visit levels within the three therapy categories, notes consultant Mark Sharp with BKD in Springfield, MO. Case Mix Gets A Mix-Up CMS made sweeping...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.