tci Medicare Compliance & Reimbursement - 2014 Issue 20

HHPPS: Improve Outcomes or Put Your Reimbursement at Risk

The time to make changes is now. Home health agencies’ (HHAs’) payments are at stake if the Centers for Medicare & Medicaid Services (CMS) goes ahead with implementing its pay for performance plans as planned. Background: CMS announced in the 2015 home health prospective payment system proposed rule, issued on July 1, that it is considering implementing a P4P program, now known as Value-Based Purchasing (VBP), in January 2016. “As currently envisioned, the HHA VBP model would reduce or increase Medicare payments, in a 5-8 percent range, depending on the degree of quality performance in various measures...

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