Becker's Healthcare November 4, 2019
CMS issued a final rule Oct. 31 that increases home health payments for 2020.
Eight takeaways from the final rule:
1. Next year, net Medicare payments to home health agencies will increase by 1.3 percent, or $250 million.
2. The final rule sets forth the implementation of an alternate case-mix adjustment methodology called the Patient-Driven Groupings Model. The methodology, finalized last year, is mandated by the Bipartisan Budget Act of 2018.
3. In implementing the new model, CMS will use 30-day care periods rather than 60-day episodes of care as the payment unit.
4. CMS will stop using the number of therapy visits provided to determine payment to home health agencies and instead rely more on clinical characteristics...
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