Followup payment items related to the 2023 home health final rule are now out. The updated PPS grouper that will take effect in January is at www.cms.gov/medicare/medicare-fee-for-service-payment/homehealthpps/casemixgroupersoftware. It includes updated threshold values for functional impairment levels for all clinical groups; updated functional impairment scoring for OASIS elements; updated clinical group assignment(s) for diagnosis codes, including the removal of clinical groups for some unspecified codes; updated comorbidity subgroup assignments for certain diagnosis codes; updated comorbidity subgroups applicable for the low comorbidity adjustment; and updated comorbidity subgroup interactions for high comorbidity adjustments, the Centers for Medicare & Medicaid Services notes. www.cms.gov/files/document/mm12957-home-health-prospective-payment-system-cy-2023-update.pdf
And the transmittal that implements 2023 rate changes is at www.cms.gov/files/document/r11702CP.pdf, with the related MLN Matters article at www.cms.gov/files/document/ mm12957-home-health-prospective-payment-system-cy- 2023-update.pdf. Remember: The already-scaled-back rural add-on expires as of Jan. 1, CMS notes in MM12957.