tci Medicare Compliance & Reimbursement - 2012 Issue 23

Home Health Prospective Payment System: CMS Expects Home Care Spending To Decrease

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...

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