CY 2014 Home Health Proposed Rule: Join All Member Call July 8 at 3 p.m. ET
Tuesday, July 2, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

VNAA is hosting an all-member Home Health Proposed Rule briefing on July 8 from 3:00-4:00 p.m. ET (12:00-1:00 p.m. PT) to review the regulations with members and answer questions. To register for this briefing, please click here. On June 27, the Centers for Medicare and Medicaid Services (CMS) released the "Home Health Prospective Payment System Rate Update for CY 2014, Home Health Quality Reporting Requirements, and Cost Allocation of Home Health Survey Expenses" and VNAA quickly distributed initial information to its members.

Click here to download VNAA's complete summary of the CY 2014 Home Health Proposed Rule. This document is also posted on the members-only regulatory comments page which you can access here.

According to CMS, the changes will result in an overall payment reduction of 1.5 percent in 2014. The base rate of $2,137 will increase to $2,860 but the net payment decline is due to changes in case mix weights.
For Low-Utilization Payment Adjustment (LUPA) visits, CMS proposes to increase each of the per-visit payment rates 3.5 percent in each year CY 2014-CY 2017. This accounts for changes in costs of providing these services since 2000. The LUPA add-on payment amount would also increase to approximately 4.8 percent due to the proposed increase and the addition of three LLUPA add-on factors.
In addition to payment changes, CMS proposed the implementation of two new quality measures: 1) re-hospitalization during first 30 days of home health stay and 2) emergency department use without hospital readmission during the first 30 days of home health stay. CMS is also proposing to decrease the number of quality measures currently reported to agencies on confidential CASPER reports. There are currently 97 quality measures and CMS is looking to reduce the number to 79 measures.  
With the transition from ICD-9 to ICD-10 on October 1, 2014, CMS proposed the elimination of two categories of ICD-9 codes from the HHPPS Grouper: 1) diagnosis codes that are “too acute” or too difficult to be care for in the home; and 2) codes for conditions that would not impact the home health plan of care.
Read the pre-publication version of the proposed rule.  
The national standardized 60-day episode payment rates for 2014 are on pages 82 and 83 in Tables 16 and 17. 
Read the full press release
The VNAA Policy Team is intently reviewing the proposed rule and will prepare executive and comprehensive summaries for our members. 
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