We are providing you with the following notice that was drafted by physician experts at the American Academy of Home Care Physicians.
Prospective payment is now in place.
This means that agencies are provided with a standard, fixed payment for every 60 days of care for a given patient. The payments are adjusted for case complexity. PPS provides reduced payments for cases that involve 4 or fewer visits and there is partial relief from excessive costs in some costly outlier cases. Home health care is excited about this new payment model which has been extensively tested and will serve as a more rational and predictable means of payment than the interim process that has been in place for the past 3 years. Here is what this means to you and your patients.