by John Reisinger | Feb 7, 2020 | Budgeting and Forecasting, Budgeting in Home Health, CMS Rule Making, Episodic Budgeting, Financial Management, Home Health PPS Rule, the Change in the PPS Payment Rates, The Rule-Making Process
food for thought As a financial consultant to the home health industry, I like to periodically share a free nugget or two of information, and today, I want to say something about the LUPA Thresholds under PDGM. There have been several significant changes regarding the...
by John Reisinger | Oct 30, 2015 | 2016 HH PPS Rule, FINAL Rule for 2016, Home Health PPS Rule
CMS has issued the pre-publication version of: CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements today (10/29/15) at 4:15 pm. This is available at the Federal Register...
by John Reisinger | Aug 15, 2015 | 2016 HH PPS Rule, 2016 PPS Payment Rates
With the publication of the Proposed Rule for CY 2016, back on July 10, 2015, the information necessary for calculating the changes in the 2016 PPS Payment Rates has been available. There’s a lot going on in this rule, but it ultimately boils down to...
by John Reisinger | Aug 13, 2015 | 2016 HH PPS Rule, Change in Wage Indices, Home Health PPS Rule
Changes in Wage-Indices for CY 2016: After the transitional period of the Service Areas/Wage-Indices (only applicable to 2015) there are now going to be 509 distinct Service Areas, each with their own Wage-Index (there were 445 services areas in 2014). Every year I do...
by John Reisinger | Aug 12, 2015 | 2016 HH PPS Rule, Home Health PPS Rule, Point Scoring Variables
Once again, CMS is proposing to change the Point Scoring Variables of the OASIS for 2016. This is an issue that I do have some concerns about, but as a financial person that is not clinically trained I do not feel that I am able to understand and address with the...
by John Reisinger | Aug 11, 2015 | 2016 HH PPS Rule, the Change in the PPS Payment Rates
As we get ready to enter Year 3 of Rebasing, the 2016 HH PPS payment rates are projected to decline again. CMS notes in the Proposed Rule for 2016, that HH reimbursement is projected to be reduced another $350 million (a 1.8% reduction) as compared to total HH...
