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Home Health & Hospice Week

Prospective Payment System:

PPS ADJUSTMENTS FINALLY UNDERWAY

Published on Tue Jan 27, 2009

You must take action to get the thousand dollars per error coming to you. The wait has been long, but HHAs should soon have their 2008 PPS errors squared away. Background: In an Oct. 31, 2008 transmittal, the Centers for Medicare & Medicaid Services directed the regional home health intermediaries to process adjustments for nine separate prospective payment system errors that occurred in 2008 (see Eli's HCW, Vol. XVII, No. 39, p. 308). For two of the nine errors listed, home health agencies must bring incorrectly paid claims to the RHHIs' attention to have them corrected. At the time, CMS and the RHHIs expressed hope that the adjustments would be complete not just by the Feb. 2, 2009 deadline, but before the year's end. However, that didn't happen. Intermediary Cahaba GBA began processing the adjustments on Jan. 23 and will complete them by Feb. 1, a Cahaba representative tells Eli. [...]
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