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CMS posts implementation guidance for HH PPS
The Centers for Medicare & Medicaid Services (CMS) is providing guidance to home health agencies (HHAs) on two issues related to the implementation of the refined HH PPS, which became effective Jan. 1:
1. Billing options for HHAs whose systems are not ready to bill, based on the refined HH PPS, on Jan. 1, 2008;
2. Upcoming revisions to the HH PPS Grouper, which may result in underpayments to HHAs, and the options available to HHAs on how to handle those potential underpayments.
CMS will be releasing the revised grouper, HAVEN and associated pseudo code as soon as possible in 2008.
You may access the home health agencies guidance document at: http://www.cms.hhs.gov/HomeHealthPPS/Downloads/GuidanceforHHAs_Posting_12-18-2007.pdf.