Home Health Line
11/12/2012
CMS’ estimated payment reduction for agencies in 2013 is feather-light, but new sanctions for survey deficiencies and a major change to the diagnosis payment slot could hit agencies harder.
 
11/12/2012
Civil monetary penalties and payment suspensions for non-compliant agencies won’t take effect until July 1, 2014, but CMS otherwise made only a handful of changes to its proposed survey sanctions in the final 2013 PPS rule.
 
11/12/2012
CMS has finalized its proposal to limit the use of the diagnosis payment slot (M1024) to only permit fracture diagnosis codes, which means you can no longer place resolved conditions there.
 
11/12/2012
CMS has finalized a change that will limit when therapists can perform their reassessments, but provided additional flexibility in cases where ordered visit frequencies would make compliance hard for agencies.
 
11/12/2012
Next year’s national per-visit amounts for low-utilization payment adjustment (LUPA) episodes will be slightly above the final rates for 2012 across all disciplines, according to the final 2013 PPS rule.
11/12/2012
Once again the final 2013 PPS rule offers little relief for agencies struggling with the face-to-face encounter documentation requirement – leaving agencies to deal with recalcitrant physicians as best they can.
 
11/12/2012
The day before the final 2013 PPS rule, CMS released the 2013 physician fee schedule, which included a face-to-face requirement for DME supplies that may impact your patients.
 
11/12/2012
Agencies in Alabama, Kentucky, Mississippi and Tennessee will feel the biggest impact from the final rule’s policies, with an average payment decrease of 1.10%.
 
11/12/2012
CMS is considering the adoption of readmission measures, the federal Medicare agency says in the final 2013 PPS rule.
 
11/12/2012
CMS has extended reporting requirements for home health agencies and hospices.

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