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Delta Connect Blog

Proposed PPS Rule for CY2018

Posted by Crystal Parks on Jul 27, 2017 1:26:14 PM


The Centers for Medicare and Medicaid Service (CMS) released the CY2018 Medicare Home Health payment rule this week. The home health Market Basket Index inflation update for 2018 is preset at 1% along with the suspension of the annual Productivity Adjustment. While the proposal does not reference the 2% sequestration, it is definitely expected that such will continue in 2018.

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Topics: CMS, HHPPS

CY2017 Home Health PPS Final Rule Summary

Posted by Crystal Parks on Nov 4, 2016 9:41:24 AM

2017 hh pps final rule summary

The Center for Medicare and Medicaid Services (CMS) published the Home Health PPS Final Rule on November 3, 2016. The Final Rule defines many changes in effect January 1, 2017.  These changes include payment rates, HHRG Case Mix Weight recalibration, updates to the Home Health Value-Based Purchasing pilot program, and implements the coverage for Negative Pressure Wound Treatment using disposable systems. 

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Topics: CMS, HHPPS

2015 Home Health Final Rule Change Request Issued by CMS

Posted by Crystal Parks on May 4, 2015 9:38:35 AM


In Change Request 9119, CMS provides clarifications and revisions to policies regarding physician certification and recertification for patient eligibility for Medicare home health services in the CY 2015 HH PPS final rule (published on November 6, 2014). 

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Topics: CMS, Face to Face, HHPPS

What Does the Final HH PPS Rule Mean to You?

Posted by Crystal Parks on Nov 7, 2014 1:39:59 PM

NAHC will be hosting an 'What Does The CMS Final Rule, 2015 Medicare Home Health Prospective Payment System Rate Mean to You' educational opportunity on Wednesday, November 19, 2014, from 1:00 PM – 2:30 PM Eastern.

The Final Rule issued recently by the Centers for Medicare and Medicaid Services (CMS) includes a myriad of important policy changes in addition to the 2015 payment rates for home health services. Among those important changes is the major modification to the rule requiring a face-to-face encounter with a physician as a condition for payment in Medicare. The Final Rule includes so much more:

  • The CY 2015 HHPPS payment rates, new case mix adjuster; wage index, and outlier payment formula weights
  • New requirements for timely therapy assessments
  •  OASIS submission requirements
  • Insulin injection standards
  • A potential new Value-Based Purchasing program in home health services
  • Modifications to personnel qualifications and Civil Monetary Penalties
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Topics: CMS, HHPPS, Home Health

CMS Issues Final Rule for HH PPS

Posted by Crystal Parks on Oct 31, 2014 8:50:16 AM

On October 30, 2014, the Center for Medicare & Medicaid Services (CMS) issued the final rule for Medicare's HH PPS payment rates and wage index for calendar year 2014. 

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Topics: HHPPS


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