Why Accurate Cost Reporting Could Be Key to Higher Rates in Home Health Care

Posted Thursday, August 24, 2023

No matter what CMS decides what to do with its final payment rule, experts believe providers desperately need to improve their cost reporting.

“CMS seems to think there are too many of us and we’re making too much money,” Robert Markette, an attorney with the law firm Hall, Render, Killian, Heath & Lyman, said during an Axxess panel. “If you look at the data they’re relying upon, we’ve somewhat done that to ourselves with cost reporting. The reason they think we have a 45% profit margin, which is essentially what they’re saying, is because our cost report data is off.”

Before PPS began at the turn of the century, home health providers were spending months on cost reports. At the time, providers would have to submit accurate data and were paid based on those cost reports.

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