CMS Home Health Model Follows Quality-Based Medicare Shift
Law360, New York ( August 19, 2015, 12:06 PM EDT) -- On July 10, 2015, the Centers for Medicare & Medicaid Services published in the Federal Register the calendar year 2016 Home Health Prospective Payment System proposed rule effective for episodes ending on or after Jan. 1, 2016.[1] CMS estimates that the net impact of the proposed rule would result in a 1.8 percent decrease in Medicare payments to home health agencies ($350 million decrease) for calendar year 2016 as provided at Table 1 of the proposed rule and on its home health agency website available here. The Medicare home health prospective payment system has been in effect since Oct. 1, 2000, and prior to the prospective payment system payment methodology, home health services under Part A and Part B were reimbursed pursuant to a retrospective reasonable cost-based system....
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