Listed below
are the National Standardized 60-Day Episode Payment Amounts. Remember these rates will be adjusted for
each home health agencies wage index and the individual Medicare patients case
mix.
Urban Agencies
that submit quality data - $2,965.12
Urban
Agencies that do not submit quality data - $2,906.92
Rural
Agencies that submit quality data - $3,054.07
Rural
Agencies that do not submit quality data - $2,994.13
Listed below
are the LUPA payment rates for episodes with four visits or less. Remember these rates must be adjusted for
wage index.
|
Discipline
|
Urban Agencies
Submitting
Quality Data
|
Urban Agencies
Not Submitted
Quality Data
|
|
SNC
|
$134.42
|
$131.79
|
|
PT
|
$146.95
|
$144.07
|
|
OT
|
$147.95
|
$145.05
|
|
SP
|
$159.71
|
$156.58
|
|
MSW
|
$215.47
|
$211.24
|
|
HHA
|
$60.87
|
$59.68
|
|
Discipline
|
Rural Agencies
Submitting
Quality Data
|
Rural Agencies
Not Submitted
Quality Data
|
|
SNC
|
$138.45
|
$135.74
|
|
PT
|
$151.36
|
$148.39
|
|
OT
|
$152.39
|
$149.40
|
|
SP
|
$164.50
|
$161.28
|
|
MSW
|
$221.93
|
$217.58
|
|
HHA
|
$62.70
|
$61.47
|
CMS has also
finalized the Home Health Value-Based Purchasing Model. The states that have been selected for the
HHVP Model are Arizona, Florida, Iowa, Maryland, Massachusetts, Nebraska, North
Carolina, Tennessee, or Washington you will be required to participate in the
model beginning on January 1, 2016.
Actually they have already been collecting data for their base year
which will be 2015.
If you are
located in one of the 9 states listed above you have 60 days to be ready for
HHVPM to begin. We have two timely One
Day Seminars that will give you the information you need to prepare for the
changes. They are titled Winning
Strategies – Home Health Value Based Payments.
The first seminar will be held in Louisville, KY on November 10th. The second seminar will be held in Orlando,
FL on November 17th. The
seminar topics are:
Understanding the
Home Health Value-Based Purchasing Model
How to Succeed Under
Home Health Value Based Purchasing
Review of Final Home
Health Rules and Rates for 2016
SMART Marketing to
Grow and Prosper
We are pleased to offer $100 per person
discount off the current rate because of a sponsorship by TurboQuisine. The discounted rate including the $100
discount is $269 for the first person
and $199 for additional people from
the same agency.
We have a
Temporary Link to the Final Rule because the final rule will not be published
in the Federal Register until November 5th.
We developed
a free 10 minute video that could help you to solve 5 major issues impacting
your home health agency. We have always
tried to have our clients, seminar attendees and friends to learn to think
outside the box. This video really hits
on that point. Watch the video and let
us know your opinion.
For more
information please use the following link
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