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Home Health & Hospice Week

Prospective Payment System:

Medicare Rates Down Slightly Starting In January

Published on Thu Nov 08, 2012

CMS sticks to its case mix adjustment guns.A tweak to the inflation update means your episode base rate for 2013 will tick slightly downward instead of slightly upward starting in the new year, according to the home health prospective payment system final rule released Nov. 2.In its proposed PPS rule back in July, the Centers for Medicare & Medicaid Services floated a base rate increase from the current $2,138.52 to $2,141.95 in 2013. Now CMS has finalized the base rate at $2,137.73, according to the final rule published in the Nov. 8 Federal Register. Episodes furnished to patients in rural CBSAs will have a 3 percent rural add-on, while agencies who fail to submit required CAHPS and OASIS data will be docked 2 percent.CMS had estimated an inflation update of 2.5 percent for 2013, but more recent data showed an update of 2.3 percent, the agency says in the final [...]
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