Proposed Payment Changes in 2018 and 2019 for Medicare Home Health Agencies

by  Christine Woolstenhulme, CPC, CMRS, QCC, QMCS
July 26th, 2017

CMS announced today that the payment rates and wage index system for 2018 has a new proposed rule for Medicare Home Health Agencies. CMS stated, “The new payment system aims to encourage innovation and collaboration and to incentivize home health providers to meet or exceed industry quality standards.” The proposed rule updates the Home Health Quality Reporting program 1% in 2018 due to projected Medicare payments to HHAs in CY, 2018 would be reduced by 0.4 percent, or $80 million, based on the proposed policies.

CMS is also proposing a complete redesign for 2019, including changing the unit of payment from 60-day episodes of care to 30-day periods of care. There will be six new clinical groups used to categorize 30-day periods of care based on the patients primary reason for Home Health Care. This, and other refinements for proposed methodology, would take place for CY 2019.

Read the entire CMS Announcement  

Home Health Prospective Payment System (PPS) 


Proposed Payment Changes in 2018 and 2019 for Medicare Home Health Agencies. (2017, July 26). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.