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2012-07-13
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Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2013, Hospice Quality Reporting Requirements, and Survey and Enforcement Requirements for Home Health Agencies
Part III
Proposed Rules
D09002ee1bdcb6a8b
D09002ee1bdcb6b82
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This proposed rule would update the Home Health Prospective Payment System (HH PPS) rates, including the national standardized 60- day episode rates, the national per-visit rates, the low-utilization payment amount (LUPA), and outlier payments under the Medicare prospective payment system for home health agencies effective January 1, 2013. This rule also proposes requirements for the Hospice quality data reporting program. This proposed rule would also establish requirements for unannounced, standard and extended surveys of home health agencies (HHAs) and provide a number of alternative (or intermediate) sanctions that could be imposed if HHAs were out of compliance with Federal requirements. This proposed rule would set forth alternative sanctions that could be imposed instead of or in addition to termination of the HHA's participation in the Medicare program, which could remain in effect up to a maximum of 6 months, until the HHA achieved compliance with the HHA Conditions of Participation (CoPs), or until the HHA's provider agreement was terminated.
77 FR 41548
https://www.govinfo.gov/app/details/FR-2012-07-13/2012-16836
2012-16836
fr13jy12-33
RIN 0938-AR18
4120-01-P
CMS-1358-P
https://www.govinfo.gov/app/details/FR-2012-07-13/2012-16836
https://www.govinfo.gov/content/pkg/FR-2012-07-13/html/2012-16836.htm
https://www.govinfo.gov/content/pkg/FR-2012-07-13/pdf/2012-16836.pdf
Health Facilities
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Medicare Reporting and Recordkeeping Requirements
53 p.
41548
41600
77 FR 41548
Code of Federal Regulations
Title 42 Part 409
42 CFR Part 409
Code of Federal Regulations
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42 CFR Part 424
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42 CFR Part 431
Code of Federal Regulations
Title 42 Part 484
42 CFR Part 484
Code of Federal Regulations
Title 42 Part 488
42 CFR Part 488
Code of Federal Regulations
Title 42 Part 489
42 CFR Part 489
Code of Federal Regulations
Title 42 Part 498
42 CFR Part 498
Regulation Identification Number 0938-AR18
RIN 0938-AR18
Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2013, Hospice Quality Reporting Requirements, and Survey and Enforcement Requirements for Home Health Agencies; Federal Register Vol. 77, Issue
PRORULE
2012-16836
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2012-09-04
CMS-1358-P
4120-01-P
2012-16836
Proposed rule.
This proposed rule would update the Home Health Prospective Payment System (HH PPS) rates, including the national standardized 60- day episode rates, the national per-visit rates, the low-utilization payment amount (LUPA), and outlier payments under the Medicare prospective payment system for home health agencies effective January 1, 2013. This rule also proposes requirements for the Hospice quality data reporting program. This proposed rule would also establish requirements for unannounced, standard and extended surveys of home health agencies (HHAs) and provide a number of alternative (or intermediate) sanctions that could be imposed if HHAs were out of compliance with Federal requirements. This proposed rule would set forth alternative sanctions that could be imposed instead of or in addition to termination of the HHA's participation in the Medicare program, which could remain in effect up to a maximum of 6 months, until the HHA achieved compliance with the HHA Conditions of Participation (CoPs), or until the HHA's provider agreement was terminated.
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 4, 2012.
Kristine Chu, (410) 786-8953, for information about the HH payment reform study and report. Robin Dowell, (410) 786-0060, for information about HH and Hospice quality improvement and reporting. Kim Evans, (410) 786-0009, for information about HH therapy policies. Mollie Knight, (410) 786-7948, for information about the HH market basket. Hillary Loeffler, (410) 786-0456, for information about the HH PPS. Lori Teichman, (410) 786-6684, for information about HHCAHPS. Patricia Sevast, 410-786-8135 and Peggye Wilkerson, 410-786-4857, for survey and enforcement requirements for HHAs.
Health Facilities
Medicare
Emergency Medical Services
Health Professions
Reporting and Recordkeeping Requirements
Grant Programs-Health
Medicaid
Privacy
Administrative Practice and Procedure
Record and Reporting Requirements
Medicare Reporting and Recordkeeping Requirements
Medicare Programs:
Home Health Prospective Payment System Rate Update for Calendar Year 2013, Hospice Quality Reporting Requirements, etc.
,
HHCAHPS@rti.org
http://www.bls.gov/oes/current/oes_tec.htm
http://www.cms.gov/Center/Provider-Type/Home-Health-Agency-HHA-Center.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Home-Health-Prospective-Payment-System-Regulations-and-Notices.html
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/
http://www.medicare.gov/HHCompare/Home.asp
http://www.regulations.gov
http://www.whitehouse.gov/omb/bulletins/index.html
http://www.whitehouse.gov/omb/circulars_a004_a-4
https://homehealthcahps.org
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/OASIS_Attachment_D_Guidance.html
www.qualityforum.org
www.whitehouse.gov/omb/bulletins/b03-04.html
Federal Register
Vol. 77, no. 135
Office of the Federal Register, National Archives and Records Administration
2012-07-13
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429 p.
Table of Contents:
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https://www.govinfo.gov/app/details/FR-2012-07-13
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0042-1219
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https://www.govinfo.gov/app/details/FR-2012-07-13
https://www.govinfo.gov/content/pkg/FR-2012-07-13/pdf/FR-2012-07-13.pdf
https://www.govinfo.gov/content/pkg/FR-2012-07-13/xml/FR-2012-07-13.xml
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