tci Medicare Compliance & Reimbursement - 2005 Issue 38

HOME HEALTH: PPS For HHAs Not Set Yet, MedPAC Says

Agency wants CMS to research case-mix data.Home health agencies' 2006 prospective payment system may receive further tweaking--if the Medicare Payment Advisory Commission gets its way.The Centers for Medicare and Medicaid Services should consider analyzing the case mix classification system, the outlier policy and the benefit's definition under next calendar year's home health PPS, MedPAC Chairman Glenn Hackbarth wrote in a Sept. 6 letter to CMS Administrator Mark McClellan.In the home health PPS proposed rule, the agency plans to base HHAs' wage indices on their proximity to Metropolitan Statistical Areas or Core-Based Statistical Areas--the same payment methodology...

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