CMS proposed ICD-9-CM Grouper Refinements effective January
1, 2014. They have identified two
categories of codes that will be removed from the Home Health PPS Grouper. The first category contains 162 codes based
upon CMS’s clinical judgment are “too acute”, meaning that this condition could
not be appropriately care for in a home health setting. They believe the patients may have had these
conditions while in the hospital, but would be substantially improved before
they were transferred into home health care.
The second category contains 8 codes that based on CMS’s clinical
judgment would not require the intervention of a home health agency. CMS has removed a total of 170 codes that
would no longer be part of the home health PPS grouper. This will impact every home health
agency. The actual impact will vary
based on each agency’s utilization of the 170 codes that will no longer receive
points in the Home Health PPS Grouper Software.
For more information on the codes please utilize the revised
link published in the Federal Register on July 3, 2013 on the Proposed Home
Health PPS Rules and Rates for 2014:
http://www.gpo.gov/fdsys/pkg/FR-2013-07-03/pdf/2013-15766.pdf
1 comment:
If you are the primary caregiver providing in home care for one or both of your parents then you know how hard it can be to keep track of the different medications
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