Home Health Line
07/10/2014
Home health reimbursement would drop by a fraction under the PPS rule CMS is proposing for calendar year 2015, but agencies would gain considerable face-to-face relief. Or would they?
 
 
07/10/2014
Nearly 200 codes from commonly assigned pulmonary, psych 1, psych 2 and blindness/low vision diagnosis categories and two OASIS items will lose their case-mix value if the changes in the 2015 proposed PPS rule become final.
 
 
07/10/2014
Therapists will need to reassess patients at least every 14 calendar days, starting Jan. 1, if CMS’ proposed PPS rule is finalized. That change could make it easier for agencies to track when reassessments need to happen, especially for patients receiving therapy from multiple disciplines. But it could increase costs in some cases by requiring more visits by qualified therapists than previously required.
 
 
07/10/2014
Start tracking OASIS submissions more closely than ever as CMS plans to establish a minimum threshold for the number of correct OASIS assessments you need to prevent losing your 2% annual inflation update in 2017.
 
 
07/10/2014
Your state may be selected as one of the eight that would be part of the home health value-based purchasing project outlined in the proposed PPS rule.
 
 
07/10/2014
 When Administrative Law Judges (ALJs) or state hearing officers find the basis exists for imposing a civil money penalty, they won’t be able to eliminate the financial penalty entirely. When ALJs and hearing officers find noncompliance, they can’t “set a penalty of zero or reduce a penalty to zero” or “review the exercise of discretion by CMS or the state to impose a civil money penalty,” the proposed rule states. Starting in July, surveyors were able to issue civil monetary penalties and payment suspensions for agencies with deficiencies 
 
07/10/2014
The HHL team has compiled this quick-reference tool to help you evaluate the major provisions of CMS's proposed rule. The following changes would take effect in 2015 if the rule is finalized as proposed.
07/10/2014
Agencies in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont are slated to see a payment increase of 1.5% in 2015, the best deal under CMS’ proposed policies. Meanwhile, agencies in Arkansas, Louisiana, Oklahoma and Texas would see the biggest reduction, 2.4%. CMS’ proposals also would hit proprietary and government providers while having a positive effect on nonprofit agencies
07/10/2014
The 2015 proposed national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are slightly higher for all disciplines than the 2014 rates.
07/07/2014
Your Medicare payments would drop by a fraction, but you’d gain considerable face-to-face relief under the proposed 2015 PPS rule. 

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