CMS Issues Proposed Home Health PPS Rule for 2013
The Centers for Medicare & Medicaid Services (CMS) released its proposed Home Health Prospective Payment System (PPS) Rate Update for calendar year 2013. CMS is proposing to update home health PPS rates for home health agencies (HHAs) effective January 1, 2013. The proposal would reduce payments to HHAs by 0.1%, or $20 million, for 2013. As a result of advocacy by AOTA, CMS is proposing a technical correction to revise the description of G code G0158 for occupational therapy. The revision will put in place correct terminology and be consistent with federal regulations. The proposed rule also includes the following revisions relating to therapy reassessment visits to ensure beneficiary access to therapy services:
The proposal would revise regulations to allow a nonphysician practitioner in an acute or post-acute facility to perform the home health face-to-face encounter in collaboration with or under the supervision of the physician. The proposal would establish requirements for unannounced, standard and extended surveys of HHAs and provide a number of alternative (or intermediate) sanctions that could be imposed if HHAs were out of compliance with Federal requirements. In addition, the proposed rule includes requirements for the hospice quality data reporting program.
Comments are due September 4, 2012. AOTA is currently analyzing the implications of the Home Health PPS proposed rule and will be drafting comments. Please e-mail us at email@example.com with your thoughts.
CMS Press Release: CMS Proposes Payment Changes to Medicare Home Health for 2013