So, so that everybody understands, in the spring of every year, CMS puts out the final rule for home health and other health industries. However, for home health, it comes out in the spring. Agencies have 60 days to review it, ask questions, make comments, and give their opinions. Once the 60-day period is up, CMS takes it back and reviews all the comments and suggestions. Then, they release the final rule, which will be in effect for the calendar year of 2018. Today was the drop-dead day to receive the final rule for next year because there is a mandate that requires it to be published at least 60 days prior to its effective date. So, counting from today to January 1st, which is when the rule takes effect, today is day 60. We expected to receive it earlier, as it is usually released a couple of weeks before the effective date. Now, let's discuss the provisions included in the rule separately. Firstly, there are updates in the Home Helpers HH PPS system payment rates, including the national standardized 60-day episode rate, the national per visit rate, and the non-routine medical supply conversion factor. These updates are effective for episodes of care ending on or after January 1st, 2018. If an episode ends on December 31st, the rates from 2007 apply. This rule also updates the home health PPS case-mix weights using the most current and complete data available. It implements the third year of a three-year phase-in of a reduction to the national standardized 60-day episode rate, taking into account case-mix growth between 2012 and 2014. CMS announced this reduction three years ago, and now it is being implemented. In conclusion, the final rule for home health and other health industries is released in the spring, reviewed by agencies for 60 days,...
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Care plan oversight reimbursement rates 2024 Form: What You Should Know
CMS Care Plan Oversight Policy, Professional — Reimbursement.
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