tci Medicare Compliance & Reimbursement - 2015 Issue 14

Value-Based Purchasing: Is Your State In The Pilot?

Even if it’s not now, it may be by the fall. If your state is in Medicare’s Value-Based Purchasing program for home health agencies, you’ll have to worry about your outcomes affecting your reimbursement sooner rather than later. The states proposed for inclusion are: Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee. These states may change in the final rule, the Centers for Medicare & Medicaid Services (CMS) cautions in the home health prospective payment system proposed rule released July 6. CMS “randomly” chose the states from nine geographic groupings, it says...

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