CY2012 HHA PPS Pricer Released

The PPS Pricer for CY2012 has been released and is now available for download.

The Balanced Budget Act of 1997 required the creation of a prospective payment system for home health services. The HH PPS Pricer makes all reimbursement calculations applicable under HH PPS, including percentage payments on requests for anticipated payments (RAPs), claim payments for full episodes of care, and all payment adjustments, including low utilization payment adjustments (LUPAs), partial episode payment (PEP) adjustments, significant change in condition(SCIC) adjustments and outlier payments.

Click here to access the HHA PC Pricer under the Downloads section.

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