Tuesday, November 4, 2014

CMS Changes Case Mix Weights Again in Final 2015 PPS Rules & Rates

Every case mix weight has changed in the CMS Proposed PPS Rules for 2015.  They have adjusted the rates to include the latest paid claims available as of 12/31/2013.  They have also reweighted some of the impact of therapy.  We encourage you to review all of the new case mix weights to determine the potential impact on you individual home health agency.  We have listed a sample below for your review.
 
CodeTherapy Utilization
C, F & S
2015 Case
Mix Weight
2014 Case
Mix Weight
Increase /
(Decrease)
% Increase /(Decrease)
101111st and 2nd Episodes, 0 to 5 Therapy VisitsC1F1S1
0.5985
0.6080
(0.0095)
(1.56%)
101121st and 2nd Episodes, 6 Therapy VisitsC1F1S2
0.7242
0.7273
(0.0031)
(0.43%)
101131st and 2nd Episodes, 7 to 9 Therapy VisitsC1F1S3
0.8499
0.8468
0.0031
0.37%
101141st and 2nd Episodes, 10 Therapy VisitsC1F1S4
0.9756
0.9661
0.0095
0.98%
101151st and 2nd Episodes, 11 to 13 Therapy VisitsC1F1S5
1.1013
1.0856
0.0157
1.45%
211111st and 2nd Episodes, 14 to 15 Therapy Visits
C1F1S1
1.2270
1.2049
0.0221
1.83%
211121st and 2nd Episodes, 16 to 17 Therapy Visits
C1F1S2
1.4220
1.3615
0.0605
4.44%
211131st and 2nd Episodes, 18 to 19 Therapy Visits
C1F1S3
1.6171
1.5180
0.0991
6.53%
40111All Episodes, 20+ Therapy Visits
C1F1S1
1.8122
1.6745
0.1377
8.22%
We will have much more on the Final 2015 Home Health PPS Payment Rules and Rates in future email alerts.  We have scheduled a Home Health Webinar titled "Final 2015 Home Health PPS Rules & Rates" for November 20, 2014 from 3:00 pm to 4:30 pm EDT.  The webinar will be held Live, but will be available later on demand because it will be recorded.  
The final rule will be published in the Federal Register on November 6th.  We will provide a new link at that time.


Registration Form 

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