Home Health Care News November 22, 2024
Joyce Famakinwa

With the passage of the most recent home health final rule, providers are reminded that clawbacks are still hanging over their heads.

Broadly, temporary cuts, or clawbacks, are an attempt from the U.S. Centers for Medicare & Medicaid Services (CMS) to recover perceived overpayments from home health providers in relation to the shift to PDGM.

“It’s a terrible thing to have in front of us, because it’s already been difficult,” Dr. Steve Landers, CEO of the National Alliance for Care at Home, said during a media briefing on Thursday. “To think that there’s billions of more dollars to come — it’s really unthinkable.”

Specifically, CMS believes it overpaid providers $3.5 billion from 2020-2022. Currently, the debt sits at $4.5 billion.

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