tci Medicare Compliance & Reimbursement - 2003 Issue 45

Home Health: THE LOSERS: HHAs HURTING DESPITE COPAY VICTORY

Rural add-on falls short of hopes.Home health agencies may have celebrated their political good fortune a bit too soon. Even though the dreaded home health copayment isn't in the final Medicare bill, there are plenty of other provisions that could plague HHAs for years to come. But it's not all bad news either, with a bone thrown to rural agencies. The bill includes the following HHA-specific provisions: a reduction of 0.8 percent to the inflation update factor (the market basket index) for three years, 2004 through 2006; a 5 percent rural "bonus payment" for one year; a...

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