CMS Released 2012 Final PPS Rule
The final Home Health PPS payment rates for 2012 were released by CMS this week. Changes in the rule will affect payment, quality initiatives, and policies. Agencies may review the complete rule here, however, there are several key highlights you won’t want to miss.
- Home care will be reduced by 2.31% beginning January 1, 2012, lowering the final 60 day episodic base rate to $2,138.52, down by $53.55.
- The Face-to-Face regulations have changed to allow the inpatient of post-acute facility physician to perform the encounter and report to the community physician who will then complete the documentation.
- The 13th and 19th therapy requirement has been clarified for episodes involving multiple disciplines.
- Significant changes were made to coding weights. CMS removed two case mix hypertension codes which will reduce the weight on therapy episodes and increase weights on non-therapy episodes.
GLMI will be continuing to post updates are we prepare your system for the new regulations.