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Billing Instructions for the Home Health Prospective Payment System (HH PPS) Case Mix Refinement

This transmittal provides the necessary instructions to home health agencies regarding submission of claims under the refined HH PPS. It also makes conforming changes to various sections to reflect contracting reform and the conversion to the UB-O4 claim form.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 05, 2007

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.