Posted on Friday, November 2, 2018 12:49 PM
CMS issued the CY 2019 Medicare Home Health Prospective Payment System rates and wage index, and the NAHC objects to numerous provisions, and plans to fight before implementation.
“NAHC remains very concerned that the new model still includes the risk of a significant “behavioral adjustment” based solely on assumptions of behavioral changes that HHAs might undertake in the future,” said NAHC President William A. Dombi, in response to the release of the Final Rule. “That adjustment was suggested at a 6.42 percent reduction in base payment rates in the proposed rule. CMS does not offer the 2020 actual rates at this time, but notes it is required to make some adjustment for the first year of PDGM. Rate reductions based on behavioral changes that have not yet occurred create significant dangers for home health patients.
“We have supported rational payment model reforms for many years. While the new model does include some good system refinements, its foundation is severely weakened by an unwarranted and unsupported rate reduction based on nothing but pure assumptions that home health agencies will abuse the payment process. There is bipartisan, bicameral legislation already pending before Congress that will permit Medicare to adjust rates only after there are actual changes in provider behaviors, not simply based on conjecture.”
Date: Thursday, November 8, 2018
Time: 3:00 – 4:30pm ET
Speaker: William A. Dombi, President of NAHC
*non NAHC members $99.00
Click here to register.
About Corridor
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.
