CMS Issues Change Request that Provides Instructions to Claims Processing Contractors Under the HHPPS
December 10, 2014 10:22 AM
The Centers for Medicare & Medicaid Services has issued Change Request (CR) 8969 that provides instructions to the claims processing contractors on the home health prospective payment system (HHPPS) rate updates for calendar year (CY) 2015.
The transmittal instructs the contractors on the system changes necessary to implement the changes to the Market Basket Update; National, Standardized 60-Day Episode Payment; National Per-Visit Rates; Low-Utilization Payment Adjustment Add-On Payments; Non-Routine Supply Payments,and Rural Add-on.
Included in the CR are tables outlining the changes made to each of the component parts of the HHPPS and payment amounts associated with the 2 percent reduction for agencies that do not comply with the quality reporting requirements. In addition, a complete list of the old and new wage index assignments for both rural and urban designations, and the transition wage index amounts that will be applied in 2015 is provided. Further, the transmittal includes a table showing the clinical and functional thresholds changes that are effective for 2015.
CMS reiterates that the CY 2015 HHPPS payment rates will be applied to episodes with claim statement “Through” date on or after January 1, 2015, and on or before December 31, 2015.
To view the CR, please click here.