Reimbursement:
CMPs May Crush HHAs
Published on Thu Nov 29, 2012
Daily fines add up quickly. Home care providers hungry for details of how surveyors, survey agencies, and Medicare will choose civil money penalty amounts will have to wait a bit longer. In the 2013 home health prospective payment system final rule, the Centers for Medicare & Medicaid Services spells out many details of the new CMP process, but leaves other crucial components unaddressed. CMS lays out these CMP levels and fine amounts: Upper range -- For a deficiency that poses immediate jeopardy to patient health and safety, CMS would assess a penalty within the range of $8,500 to $10,000 per day of condition-level noncompliance. Specifically, CMS will impose a CMP at $10,000 per day for deficiencies that pose an immediate jeopardy to patients and that result in actual harm. For a deficiency that poses an IJ situation and results in a potential for harm (but no actual harm), CMS will impose [...]