The Proposed New National Standardized 60-Day Episodes Rates are listed below:
Proposed National Standardized Episode Rate $3,151.22
Proposed Rate (Did Not Submit Quality Data) $3,089.49
Remember your individual agency rate will be adjusted by wage index. If your patients live in a rural area you will receive an additional payment. We will go over the new rural add-on payments in our next newsletter.
Home Health episodes that have four or less visits are paid a LUPA rate instead of an episode rate. Listed below are the National LUPA Payment Rates. Remember these rates will be adjusted for each home health agencies wage index.
Listed below are the National LUPA Payment Rates Per Discipline:
SN $146.41
PT $160.05
OT $161.14
SP $173.96
MSW $234.69
HHA $66.30
Listed below are the National LUPA Payment Rates Per Discipline for Agencies Not Submitting Quality Data:
SN $143.54
PT $156.92
OT $157.99
SP $170.55
MSW $230.09
HHA $65.00
LUPA Episodes are paid a higher rate for the first visit of the episode. Listed below are the national payment rates for the first visit of LUPA episodes:
SN $270.14
PT $267.28
SP $282.96
Listed below are the payment rates for Agencies Not Submitting Quality Data:
SN $264.85
PT $262.06
SP $277.42
Dixon Healthcare Solutions Inc.