Get the free Home Health Prospective Payment System (HH PPS) Rate Update ...

Medicare Bulletin Jurisdiction 15Reaching Out to the Medicare Community 2018 Copyright, CGS Administrators, LLC.HOME HEALTH & HOSPICEJANUARY 2019 WWW.MEDICARE. Jurisdiction 15MM10992: Home Health

How to fill out home health prospective payment

How to fill out home health prospective payment

1. To fill out home health prospective payment, follow these steps:
2. Gather all the necessary information and documentation related to the home health services provided.
3. Determine the number of therapy visits provided to the patient during the billing period.
4. Calculate the total number of episodes of care provided to the patient.
5. Identify the appropriate PPS rate based on the patient's case mix.
6. Determine the number of LUPAs (Low Utilization Payment Adjustments) associated with the episodes of care.
7. Calculate any applicable outlier payments.
8. Add up all the payment components to arrive at the total prospective payment amount for the billing period.
9. Fill out the required forms or enter the information electronically as per the guidelines provided by the payment system.
10. Double-check all the entered information for accuracy and completeness.
11. Submit the filled-out forms or electronic data to the appropriate payer or billing agency.
12. Keep a record of the submitted information for future reference or auditing purposes.

Who needs home health prospective payment?

1. Home health prospective payment is needed by healthcare providers, specifically home health agencies, who offer home health services to patients.
2. It is also required by government healthcare programs, such as Medicare, Medicaid, or other insurance providers who reimburse for home health services based on the prospective payment system.

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What is home health prospective payment?

Home health prospective payment is a payment system used by Medicare to reimburse home health agencies for services provided to Medicare beneficiaries.

Who is required to file home health prospective payment?

Home health agencies that provide services to Medicare beneficiaries are required to file home health prospective payment.

How to fill out home health prospective payment?

Home health agencies can fill out home health prospective payment by submitting the necessary information electronically through the Medicare system.

What is the purpose of home health prospective payment?

The purpose of home health prospective payment is to provide a standardized method for reimbursing home health agencies for services provided to Medicare beneficiaries.

What information must be reported on home health prospective payment?

Home health agencies must report information such as the services provided, patient demographics, and billing information on home health prospective payment.