20-Visit Threshold Sees Biggest Payment Decrease Under Case Mix Changes

July 2011
Eli's Home Care Week;7/18/2011, Vol. 20 Issue 26, p203
The article discusses the decrement in payment due to case mix in the Medicare. Case mix refers to the type or mix of patients treated by a hospital or unit and is often used to describe the billing system of the hospital or unit. According to the U.S. Centers for Medicare and Medicaid Services (CMS), the home health prospective payment system (HH PPS) utilization data increases with very high numbers of therapy visits and a chart showing number of therapy visits is also presented.


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