Below is a quick overview of what is contained within the rule:
- 2015 Home Health Prospective Payment System rates that reduce rates under the 4-year rebasing
- Face-to-Face Physician Encounter rule modifications including the elimination of the physician narrative requirement
- Significant change to the requirement for professional therapy reassessments, dropping the 13th and 19th visit requirements and instituting a 30 day reassessment standard
- HH Quality Reporting – A new numerical standard for the submission of OASIS to avoid payment rate reductions
- Therapy reassessment simplification- Modifications of the standards for qualification of speech-language pathologists under the CoPs
- HH PPS Case-Mix Weights; Wage Index; Market Basket Adjustments; & Rebasing rate
- The introduction of possible new, restrictive coverage standards on the administration of insulin injections
- 2016 HH Value-based Purchasing Model The unveiling of a likely model for Value Based Purchasing that would be mandatory in 5-8 undesignated states
- Clarifications of the requirements for imposition of alternative Civil Money Penalty sanctions for CoP violations
- Changes to re-certification requirements
To review the proposal in its entirety, go to: http://www.gpo.gov/fdsys/pkg/FR-2014-07-07/pdf/2014-15736.pdf
– See more at: http://www.homecarenh.org/cms-releases-proposed-2015-home-health-pps-changes/#sthash.FIkBLU05.dpuf