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Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2011: Changes in Certification Requirements forHome Health Agencies and Hospices
This final rule sets forth an
update to the Home Health Prospective
Payment System (HH PPS) rates,
including: the national standardized 60-
day episode rates, the national per-visit
rates, the nonroutine medical supply
(NRS) conversion factors, and the low
utilization payment amount (LUPA)
add-on payment amounts, under the
Medicare prospective payment system
for HHAs effective January 1, 2011. This
rule also updates the wage index used
under the HH PPS and, in accordance
with the Patient Protection and
Affordable Care Act of 2010 (Affordable
Care Act), updates the HH PPS outlier
policy. In addition, this rule revises the
home health agency (HHA)
capitalization requirements. This rule
further adds clarifying language to the
‘‘skilled services’’ section. The rule
finalizes a 3.79 percent reduction to
rates for CY 2011 to account for changes
in case-mix, which are unrelated to real
changes in patient acuity. Finally, this
rule incorporates new legislative
requirements regarding face-to-face
encounters with providers related to
home health and hospice care.
Document Subtype:
Final Rule
Received Date:
November 17 2010, at 12:00 AM Eastern Standard Time
Start-End Page:
70372 - 70486
Page Count:
115
Comment Start Date:
November 17 2010, at 12:00 AM Eastern Standard Time
Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2011: Changes in Certification Requirements forHome Health Agencies and Hospices
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