On November 2, CMS has released the final rule for the Home Health Prospective Payment System (HH PPS) for 2013. The rule contains a few revisions regarding therapy reassessment requirements. Here’s the rundown of the three things you need to know:
The therapy reassessment requirement revisions are positive on the whole. A more liberal approach to penalizing for missed reassessments is welcome. Having a clear understanding of when reassessments must be performed with multiple disciplines involved is helpful. Even with a caveat for discordant frequencies, make no mistake it’s still paramount to get the reassessment completed on exactly visit 11, 12, and 13 in the case of 13th visit reassessment and 17, 18, and 19 for 19th visit reassessment. Don’t agree? Ask yourself if you want the agency to be proving to their fiscal intermediary that an untimely reassessment visit was justified while their reimbursement is held up.
Therapy reassessment compliance will continue to cause headaches for therapy companies and home health agencies. therapyBOSS can eliminate the pain. It handles every scenario pertaining to the 13th visit, 19th visit, and 30 days reassessment requirement and alerts therapy companies, therapists, and home health agencies appropriately. Even in situations when reassessments are not performed on time, therapyBOSS makes it possible to easily correct the problem within the boundaries of clinical norms.
The entire CMS 2013 PPS final rule is available here. Therapy policy changes start on page 122.
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