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Home Health PPS
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Content Section
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Home Health PPS Coding and Billing Information includes (see links below): - HAVEN 8.0 is available. See below in "Related Links Outside CMS." (posted December 26, 2007)
- CMS is providing guidance to home health agencies (HHAs) on two issues related to the implementation of the refined HH PPS effective 1/1/2008: 1) Billing options for HHAs whose systems are not ready to bill, based on the refined HH PPS, on 1/1/2008; 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. Please see the Guidance to Home Health Agencies in the downloads section below. (posted December 18, 2007)
- New information regarding HH PPS Case-Mix Refinements
- Answers regarding transition episodes. This document describes special steps for HHAs to take in completing their OASIS assessments at the transition to the refined HH PPS January 1, 2008. These steps will assure HHAs can create the proper payment group code for their claims.
- HH PPS HIPPS code weight table. These spreadsheets map each of the 1836 new HIPPS code for the refined HH PPS to its associated case-mix weight and supply payment amount.
- Presentation on HH PPS claims processing changes. An outline describing the principle changes to HHA coding and billing that result from the refined HH PPS.
- Medicare Home Health Diagnosis Coding - Revised operational ICD-9-CM guidelines have been issued for several aftercare V-codes, effective 12/1/05. A few changes have been made to the V-Code Table in the updated version of the ICD-9-CM Official Guidelines for Coding and Reporting....
- Health Insurance Prospective Payment System (HIPPS) Codes
- Home Health PPS Grouper Software and Documentation - (See Related Links Inside CMS)
- Home Health PC Pricer - Program used by CMS to calculate Home Health Resource Group (HHRG) rates and all applicable adjustments. The link below also includes a user manual for the program.
- Home Health Consolidated Billing Master Code List: An Excel workbook file containing complete lists of all codes ever subject to consolidated billing provision of HH PPS. A master list worksheet shows the dates each code was included and excluded from consolidated billing editing on claims, with associated CMS transmittal references. The master list also associates each code with any related predecessor and successor codes. Supplemental worksheets show the list of included codes for each CMS transmittal to date.
Page Last Modified: 09/04/2008 12:46:26 PM
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