Effective, January 3, 2023, CMS will add the following codes to the home health consolidated billing non-routine supply code list:
CY 2023 Home Health Prospective Payment System Rate Update Final Rule
The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2023 Home Health Prospective Payment System (HH PPS) Rate Update final rule (CMS-1766-F), which updates Medicare payment policies and rates for home health agencies (HHAs). This rule includes routine updates to the Medicare Home Health PPS and the home infusion therapy services’ payment rates for CY 2023, in accordance with existing statutory and regulatory requirements.
Home Health Billing Update: The OASIS-E Launch is Coming
If you’re preparing for home health billing and home health coding strategy updates in 2023, now is the time to catch up on OASIS-E updates and how organizations like yours should get ready. The short answer is that the launch is scheduled soon, and that outsourced home health solutions might help fill in any gaps you have or address concerns.
New Grouper Edits For Home Health Claims
The Home Health (HH) Grouper program has various data validity edits that make sure it uses consistent and accurate data when calculating payment groups on HH claims. Of these edits, currently only a principal diagnosis not assigned to a clinical group causes HH claims to be returned to the provider. Other principal diagnosis code errors aren’t returned to the provider. In some cases, this causes processing problems.
What the Potential Cut to Medicare Home Health Payments Means for Home Health Billing
Home health companies will want to pay attention to recent news coming from the White House. This is because it can impact your reimbursement as well as your approach to home health billing and home health coding.
