tci Medicare Compliance & Reimbursement - 2006 Issue 12

Payments: No Rural Add-Ons For Many HHAs

CMS promises fix soon.Thanks to a technical glitch, many home health agencies will have to wait a while longer before seeing the 5-percent rural add-on they are entitled to.That's because the Centers for Medicare & Medicaid Services home health payment software isn't set up to recognize all the counties the new Core Based Statistical Area wage index designates as rural.CMS issued a recent instruction implementing the Deficit Reduction Act payment rate changes for HHAs, including the add-on for services furnished in rural areas. The rural add-on applies to "CBSA codes that begin with '999,'" CMS...

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