CMS Mulls Tougher Medicare Enrollment Rules to Combat Fraud as Part of 2027 Home Health Payment Rule

The Centers for Medicare and Medicaid Services released on Wednesday afternoon its 2027 proposed payment rule for home health agencies. The rule includes an aggregate payment increase of $420 million, or 2.4%, based on a proposed 2.1% payment update and an estimated 0.3% increase related to the fixed dollar loss ratio. That 2.1% payment update represents $370 million, according to a CMS fact sheet. The proposal also includes updates to payment methodologies, case-mix weights, outlier payments and quality reporting requirements, while seeking feedback on expanding access to home-based palliative care.

Read the full article: CMS Mulls Tougher Medicare Enrollment Rules to Combat Fraud as Part of 2027 Home Health Payment Rule //

Source: https://www.fiercehealthcare.com/regulatory/cms-mulls-tougher-medicare-enrollment-rules-combat-fraud-part-2027-home-health-payment

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