Tag: payment rates

MedPAC calls for 5% rate cut, telehealth reporting

The Medicare Payment Advisory Commission (MedPAC) called for a signifcant payment cut for home health providers in its annual report to Congress on Tuesday, March 15, 2022. MedPAC had two recommendations regarding home health agencies: Congress should reduce the Medicare base payment rate for home health agencies by 5%. CMS should require that home health […]

CMS will pay for Moderna, J&J boosters

CMS will now pay for the administration of booster shots for all three of the COVID-19 vaccines after FDA and CDC approval for Moderna and J&J vaccines last week, including an additional payment for administering the vaccine in the patient’s home. Boosters of the Moderna and J&J vaccines will be covered from Oct. 20, 2021. […]

Breaking: 2022 proposed rule could mean national HHVBP and changes to PDGM

CMS has announced a national expansion of the Home Health Value-Based Purchasing (HHVBP) model beginning Jan. 1, 2022. It’s one of several changes introduced in the CY 2022 Home Health Prospective Payment System proposed rule, released Monday, June 28, 2021. Previously, the nine-state HHVBP model focused on payment adjustments higher and lower compared to other […]

CMS announces higher payment for administering COVID-19 vaccines

CMS has announced increased payment rates for administering the COVID-19 vaccines. “This new and higher payment rate will support important actions taken by providers that are designed to increase the number of vaccines they can furnish each day, including establishing new or growing existing vaccination sites, conducting patient outreach and education, and hiring additional staff,” […]

Payment rate changes: How will 2014 compare to 2013?

On August 1, CMS released the skilled nursing facilities (SNF) prospective payment system (PPS) Final Rule for FY 2014 that will update the payment rates used under the PPS for SNFs for 2014. According to the final rule, there will be a net rate increase of 1.3% or $500 million for FY 2014. To see […]

CMS Releases Proposed Rule Featuring Payment Updates for 2014

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014 and would revise and rebase the SNF market basket. This proposed rule also includes a proposed policy for reporting the SNF market […]