Government Watchdog Agency Signs off on CMS Home Health Final Payment Rule

Posted November 30, 2022

The U.S. Government Accountability Office (GAO) has signed off on the home health payment rule that was released by CMS in October.  GAO determined that CMS accurately deciphered the impact of the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments.

“GAO found that the final rule finalizes a corresponding permanent prospective adjustment to the CY 2023 home health payment rate, according to CMS,” Shirley Jones, managing associate general counsel for the GAO, wrote in a summary. “[The rule] finalizes the reassignment of certain diagnosis codes under the PDGM case-mix groups and establishes a permanent mitigation policy to smooth the impact of year-to-year changes in home health payments related to changes in the home health wage index.”

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