Home health agencies (HHAs) receive additional payments (outlier payments) for 60-day home health episodes of care that carry unusually high costs. CMS, in a recently proposed rule, is seeking to cap outlier payments at 10 percent per agency and target total aggregate outlier payment at 2.5 percent of total HH PPS payments. Currently, the target for outlier payment targets is 5 percent of total HH PPS payments. As such, CMS reduces home health rates by 5 percent to fund outlier payments. By lowering the total outlier payment target to 2.5 percent of total HH PPS payments, CMS would increase home health rates by 2.5 percent.

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[jbox color="yellow" title=""]Who we are
eMedesis is a Healthcare Document Management Services that helps keep your Home Health Agency in compliance with CMS by keeping your documentation updated through our in-house Legal and Clinical staff. We offer electronic paperless Apps and a high quality custom printing service, offering the best On-Demand Printing solutions and on-line ordering. Backed by regulatory knowledge and clinical experience, our full lines of custom medical forms improve reimbursement, and meet and exceed compliance standards of CMS. Our extensive IT and print production capabilities implement the latest methods and technologies, which makes all the difference to you now and in the future. We offer custom, high quality, four-color short runs and low minimum quantity. We are your single source vendor for all your CMS documentation needs. Let our in-house resources and technology investments empower your staff and improve your business cycles outcomes. Call us at 1-888-817-2869 to speak with one of our associates or schedule an appointment.
