(Download) "Medicare Programs - Home Health Prospective Payment System Rate Update for Calendar Year 2012 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)" by The Law Library ~ eBook PDF Kindle ePub Free
eBook details
- Title: Medicare Programs - Home Health Prospective Payment System Rate Update for Calendar Year 2012 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)
- Author : The Law Library
- Release Date : January 01, 2018
- Genre: Law,Books,Professional & Technical,
- Pages : * pages
- Size : 522 KB
Description
The Law Library presents the complete text of the Medicare Programs - Home Health Prospective Payment System Rate Update for Calendar Year 2012 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition).
Updated as of May 29, 2018
This final rule sets forth updates to the home health prospective payment system (HH PPS) rates, including: the national standardized 60-day episode rates; the national per-visit rates; and the low utilization payment amount (LUPA) under the Medicare PPS for home health agencies effective January 1, 2012. This rule applies a 1.4 percent update factor to the episode rates, which reflects a 1 percent reduction applied to the 2.4 percent market basket update factor, as mandated by the Affordable Care Act. This rule also updates the wage index used under the HH PPS, and further reduces home health payments to account for continued nominal growth in case-mix which is unrelated to changes in patient health status. This rule removes two hypertension codes from the HH PPS case-mix system, thereby requiring recalibration of the case-mix weights. In addition, the rule implements two structural changes designed to decrease incentives to upcode and provide unneeded therapy services. Finally, this rule incorporates additional flexibility regarding face-to-face encounters with providers related to home health care.
This ebook contains:
- The complete text of the Medicare Programs - Home Health Prospective Payment System Rate Update for Calendar Year 2012 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)
- A dynamic table of content linking to each section
- A table of contents in introduction presenting a general overview of the structure