2017 Home Health PPS Final Rule Analysis - On-Demand

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2017 Home Health PPS Final Rule Analysis - On-Demand

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2017 Home Health PPS Final Rule Analysis - On-Demand

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Available ON-DEMAND

Presented on:
Thursday, December 15, 2016

Presented by:
Joan L. Usher, BS, RHIA, ACE

Level of Program:

CMS has issued a final rule (CMS-1648-F) that updates the Medicare Home Health Prospective Payment System rates and wage index for calendar year (CY) 2017.

The rule results in a $130 million decrease in Medicare payments to home health agencies. Join expert speaker Joan L. Usher, BS, RHIA, ACE, AHIMA-approved ICD-10-CM trainer, as she reviews and discusses the points of the final rule that agencies need to know. Usher will highlight what has changed from the proposed rule and advise on how to prepare for maintaining compliance in 2017.

At the conclusion of this program, participants will be able to: 

  • Identify the changes to the prospective payment system 
  • Understand the changes to the Home Health Quality Reporting Program 
  • Describe the changes to the Value-Based Purchasing Model 

Who Should Listen?

  • Billers 
  • Coders 
  • Home health agency administrators/owners/directors 
  • Quality assurance/performance improvement (QAPI) staff 
  • Nurse managers 
  • Documentation specialists 
  • Clinical directors/managers 


  • PPS rebasing update—CY 2017 is the last year of the four-year phase-in of the rebasing adjustments 
    • Changes to outlier rate calculation methodology 
    • Annual payment update of 2.5% 
      • OASIS submission admission and discharge for a minimum of 90% 
  • Threshold increasing over three-year period beginning with CY 2017 
    • Negative pressure wound therapy payment 
  • Case-mix adjustment CY 2017 will be the second year of the three-year phase-in of the reduction to account for nominal case-mix growth 
    • Case mix weights—annual recalibration of case-mix weights ensures they reflect current home health resource use and changes in utilization patterns 
  • Home Health Quality Reporting Program—quality measures 
    • Adoption of four measures to meet IMPACT Act requirements for CY 2018: 
      • All-Condition Risk-Adjusted Potentially Preventable Hospital Readmission Rates 
      • Total Estimated Medicare Spending Per Beneficiary 
      • Discharge to the Community 
      • Medication Reconciliation 
    • Brief discussion of IMPACT Act 
      • Postacute care submission of standardized patient assessment data 
  • Updates to HHVBP Model 
    • Discuss changes to cohort size requirements 
    • Removal of four quality measures 
      • Care Management: Types and Sources of Assistance, Prior Functioning ADL/IADL, Influenza Vaccine Data Collection Period, and Reason Pneumococcal Vaccine Not Received 
    • Changes to time frame for reporting 
    • Addition of an appeals process 
  • Live Q&A 

Continuing Education

(Live + On Demand) - Attendance for the entire webinar, sponsored by HCPro, is required to earn the continuing education unit. Upon the completion of the webinar, attendees will receive 1 HCS-D CEU from the Board of Medical Specialty Coding and Compliance. (Ability to claim CEU for this webcast expire on: 12/14/2017)

Meet the Speaker 

Joan UsherJoan L. Usher, BS, RHIA, ACE, is the president of JLU Health Record Systems in Pembroke, Massachusetts. Usher is a nationally recognized expert in the field of coding and health information management. Her career began at a visiting nurse association, and she has been consulting for more than 25 years. Usher has been a certified OASIS specialist in the clinical realm for over nine years and co-authored “The How-To Guide to Home Health Billing” and  “ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment”. She works with home health agencies and hospices on ADR, denials, and appeals. Usher has presented materials on home health documentation, denials, and appeals for the Home Care Alliance of Massachusetts and other New England homecare associations.

Webinar system requirements and program materials: 

To fully benefit from the webinar experience, please note you will need a computer equipped with the following: 

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.