Detail The home health prospective payment system rate update for cy 2014   Oleh:  Rivera, Gonzalo Jenis: Article from Proceeding Dalam koleksi: American Society of Business and Behavioral Sciences (ASBBS) Proceedings: Feb 2014; Vol. 21 (1), page 616-627. Fulltext: 54 - ASBBS 2014 - p616.pdf (595.47KB) Isi artikel As required by the Balanced Budget Act (BBA) of 1997 and its related amendments, Medicare began to reimburse home health agencies under the new Home Health Prospective Payment System (HHPPS) for services beginning October 1, 2000. Under HHPPS, all home health costs for services including medical supplies are paid using a basic unit of payment known as the 60-Day Episode. The payment amount was calculated using a national standardized rate, adjusted for the home health service case mix and a wage index based on the site of the service. For 60-Day Episodes beginning and ending in 2008, the Medicare HHPPS national standardized rate was updated by a new 153 case mix grouping, and a new non-routine medical supply payment was added to the nationalized standardized rate. For home health services beginning January 1, 2014, the new proposed rule titled “Medicare and Medicaid: Home Health Prospective Payment System Rate Update for CY 2014” (78 Federal Register Vol. 128) discusses the new updates to the HHPPS rates. This rule includes changes to the 60-day episode payment rates, the national per-visit rates, the low-utilization payment adjustment (LUPA) rates, the non-routine medical supplies (NRS) conversion factor, and the add-on LUPA payments. This rule further discusses the new requirements under the Affordable Care Act regarding rebasing adjustments to the national 60-day episode national standardized rate, the national per-visit rate, the low-utilization payment adjustments, and the non-routine medical supplies conversion factor. This paper discusses an overview of these new updated Medicare HHPPS rates for CY 2014. Opini Anda Klik untuk menuliskan opini Anda tentang koleksi ini! Kembali

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