CMS Issues Change Request 8969

CMS 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 CY 2015. The transmittal “instructs 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.”

CMS has included tables outlining the changes made to each of the component parts of the HHPPS and payment amounts associated with the 2 percent reductions for agencies that do not comply with the quality reporting requirements. Included also is a complete list of the old and new wage index amounts for rural and urban designations, and the transition wage index amounts that will be applied in 2015.

Please note,  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.

Click here to view the CR.

Click here to read more from NAHC.

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