American Hospital Association October 31, 2019
The Centers for Medicare & Medicaid Services today released its home health prospective payment system final rule with comment period for calendar year 2020, which increases payments by a net 1.3% ($250 million) relative to 2019. In addition, it continues the rulemaking initiated last year to implement a new home health payment model, known as the “patient-driven groupings model,” which has a new 30-day unit of payment. To attempt to implement the model in a budget-neutral manner in CY 2020, it appears that CMS finalized a significant 8.389% cut — an important and complex provision that AHA is still studying.
In addition, as proposed, the rule allows therapist assistants, rather than only therapists, to perform maintenance...