tci Medicare Compliance & Reimbursement - 2005 Issue 35

Home Health: Compensation Adjustments Not So Cut And Dried

CMS has switched nearly all pro-provider decisionsHome health agencies that have filed appeals of therapist compensation adjustments should prepare for a court battle - or perhaps not bother appealing.That's because the Centers for Medicare and Medicaid Services administrator has reversed decisions favorable to home health agencies in 12 of 14 cases dealing with employee therapists' compensation being limited to salary guidelines for contractor therapists, according to attorney Joel Hamme with Powers Pyles Sutter & Verville in Washington, DC.Since 1988, the Provider Reimbursement Review Board has ruled in favor of HHAs in all 14 cases, Hamme tells MLR...

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