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NAHC Report: Issue# 2544, 11/6/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
2015 HHPPS Payment Rates Include Complex Modifications
NAHC Announces Ebola Task Force
For Your Information: What Does The CMS Final Rule — 2015 Medicare Home Health Prospective Payment System Rate Update; Face-to-Face Physician Encounter Documentation; Quality Reporting Requirements; Therapy Assessments; and more — Mean to You?
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2015 HHPPS Payment Rates Include Complex Modifications

The Centers for Medicare and Medicaid Services (CMS) issued a Final Rule on October 30, 2014 that sets out the panoply of payment rate changes in home health services for CY 2015. This article provides an in-depth explanation and analysis of the CY 2015 HHPPS rates and payment model.

The Final Rule, Medicare and Medicaid Programs; CY 2015 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Survey and Enforcement Requirements for Home Health Agencies, along with the 2015 case mix weights and wage index can be accessed here.

The Final Rule does not simply set out Year two of the four years of rate rebasing. Instead, it also includes significant changes in the case mix weights and the wage index. It is the combination of the base rate, case mix weight, and wage index that tells the real bottom-line result for home health agencies (HHA). Consequently, HHAs need to recognize that the 2015 changes are not equivalent for all HHAs with case mix variation and geographic location of the services crucial elements in determining the amount those individual HHAs will be paid. Some HHAs will experience aggregate payment reductions greater than would otherwise occur through the rate rebasing, while other HHAs may receive aggregate payments greater than expected. HHAs are strongly advised to undertake an agency-specific evaluation of the impact of the new rate and rate adjustment model as an HHA’s case mix and location may have greater impact than the rate rebasing.

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NAHC Announces Ebola Task Force
Barbara Citarella appointed as Task Force’s Chair, as well as other recent NAHC actions to combat the spread of the virus among home care patients and workers

On Thursday, October 16, NAHC President Val J. Halamandaris forwarded a letter to Thomas Frieden, Director of the Centers for Disease Control and Prevention (CDC), regarding the needs of the home care and hospice community in securing guidance from CDC on appropriate protocol relative to Ebola for home care workers.  The letter was additionally hand delivered to Health and Human Services Secretary Sylvia Burwell.

Aside from the action taken by Mr. Halamandaris to seek more federal input into how the home care community should respond to Ebola, Barbara Citarella, President of RVC Limited, and Mary Goldrick, Home Care and Hospice Consultant Specialist in Infection Control, extended their presentations at the NAHC Annual Meeting & Exhibition to include current and vital information for home care and hospice providers on Ebola. 

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What Does The CMS Final Rule — 2015 Medicare Home Health Prospective Payment System Rate Update; Face-to-Face Physician Encounter Documentation; Quality Reporting Requirements; Therapy Assessments; and more — Mean to You?
Wednesday, November 19, 2014, 1:00 PM – 2:30 PM EASTERN

Program: The Final Rule issued recently by the Centers for Medicare and Medicaid Services (CMS) includes a myriad of important policy changes in addition to the 2015 payment rates for home health services. Among those important changes is the major modification to the rule requiring a face-to-face encounter with a physician as a condition for payment in Medicare. The Final Rule includes so much more:

  • The CY 2015 HHPPS payment rates, new case mix adjuster; wage index, and outlier payment formula weights
  • New requirements for timely therapy assessments
  • OASIS submission requirements
  • Insulin injection standards
  • A potential new Value-Based Purchasing program in home health services
  • Modifications to personnel qualifications and Civil Monetary Penalties

This event will provide you with an in-depth explanation and evaluation of each of these elements in the Final Rule, along with updates on unresolved questions and implementation guidance.

Faculty: Val J. Halamandaris, NAHC President; Mary Carr, Vice President for Regulatory Affairs; and, Bill Dombi, Vice President for Law.

MORE INFORMATION ON THIS SPECIAL WEB EVENT FORTHCOMING!

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