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Home Health & Hospice Week

Reimbursement:

Current Outlier Calculation Leaves Money On The Table

Published on Fri Oct 31, 2014

CMS should reexamine the FDL ratio. Medicare’s outlier payment policy may actually be costing you money. Under Medicare’s original outlier payment policy for the prospective payment system, fraud and abuse of outlier payment ran rampant, especially in South Florida. Therefore, the Centers for Medicare & Medicaid Services put a 10 percent cap in place per home health agency, in 2011, [...]
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