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CY 2013 Home Health Prospective Payment System (HH PPS) rates

CY 2013 Home Health Prospective Payment System (HH PPS) rates

CMS is proposing measures that equal a 0.1 percent decrease in total Medicare payments to Home Health Agencies (HHAs) for CY 2013. Nationally, total Medicare revenue would be reduced by approximately $20 million.

LeadingAge New York is reviewing several areas:

 

  • Surveys: Proposed rules establish requirements for unannounced, standard and extended surveys of HHAs, and provides a number of alternatives or intermediate sanctions that could be imposed if HHAs were out of compliance with federal requirements. Surveyors would be allowed to impose a financial requirement on non-compliant providers and require that they work toward correcting areas in which they are deficient.
  • Face-to-Face: Proposed changes in the Face-to-Face (F2F) encounter requirements which include additional flexibility to allow Non-Physician Practitioners (NPPs) who attend to home health patients in an acute or post-acute setting, to perform F2F encounters in collaboration with or under the supervision of the physician who has cared for the patient in acute or post-acute setting.

 

  • Therapy: Proposed flexibility and clarifying reassessments.

LeadingAge New York will be posting a complete analysis of the HH PPS for CY 2013 for your review. CMS is accepting comments on this proposed rule until Fri., Sept. 14, 2012.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871