In March 2020, Section 3708(f) of the CARES Act amended the regulations to allow nurse practitioners (NPs), clinical nurse specialists (CNSs), and physician assistants (PAs) to certify and order home health services. While payment is adjusted for each 30-day period of care to reflect the beneficiary’s health conditions and care needs, a special outlier provision exists to ensure appropriate payment for those beneficiaries that have the most expensive care needs. The PDGM removes the current payment incentive to overprovide therapy, and instead, is designed to focus more heavily on clinical characteristics and other patient information to better align Medicare payments with patients’ care needs. The statutorily required provisions in the BBA of 2018 resulted in the Patient-Driven Groupings Model, or PDGM. These requirements included the elimination of the use of therapy thresholds for case-mix adjustment and a change from a 60-day unit of payment to a 30-day period payment rate. The Bipartisan Budget Act of 2018 ( BBA of 2018) included several requirements for home health payment reform, effective January 1, 2020. The case-mix adjustment under this system included: a clinical dimension a functional dimension and a service dimension, in which payment would increase if certain therapy visit thresholds were met. The 60-day payment amount was adjusted for case-mix and area wage differences.
The PPS proposed rule was published on October 28, 1999, with a 60-day public comment period, and the final rule was published on July 3, 2000.īeginning in October 2000, HHAs were paid under the HH PPS for 60-day episodes of care that included all covered home health services. Effective October 1, 2000, the home health PPS (HH PPS) replaced the IPS for all home health agencies (HHAs). The BBA of 1997 put in place the interim payment system (IPS) until the PPS could be implemented.
60 DAYS ISCHEDULE UPDATE
For now, fans of the docuseries "60 Days In" will have to wait for news from A&E, who will hopefully provide an update soon as more and more productions start up again.The Balanced Budget Act ( BBA) of 1997, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act ( OCESAA) of 1999, called for the development and implementation of a prospective payment system (PPS) for Medicare home health services. In Seasons 3 and 4, which were filmed in Fulton County Jail in Atlanta, Georgia, the same technique was applied, with "60 Days In" filming both seasons together before airing any new episodes. "60 Days In" also visits Pinal County Jail in Florence, Arizona in Season 5 and Etowah County Detention Center in Gadsden, Alabama in Season 6.įollowing the trends set in the previous seasons, "60 Days In" Season 7 is likely to take place in the southern half of the US, though considering the show's jumped from Georgia to Arizona and back to Alabama, there's really any place it could go next. At that point, no one in the public even knew the show existed. Seasons 1 and 2 were both filmed in Clark County Jail in Jeffersonville, Indiana, but the only reason this was possible was because the team behind "60 Days In" filmed both seasons before the first episode was ever broadcast.
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