Home Health PPS: Coding and Billing Information
Guidance for Home Health Agencies on Home Health PPS coding and billing.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 09, 2020
Home Health PPS Coding and Billing Information includes:
- Home Health Web Pricer - Program used by CMS to calculate Home Health Resource Group (HHRG) rates and all applicable adjustments. A user manual for the program is included in the Downloads section.
- Home Health Consolidated Billing Master Code List (ZIP) - An Excel workbook file containing complete lists of all codes ever subject to consolidated billing provision of HH PPS. A master list worksheet shows the dates each code was included and excluded from consolidated billing editing on claims, with associated CMS transmittal references. The master list also associates each code with any related predecessor and successor codes. Supplemental worksheets show the list of included codes for each CMS transmittal to date.
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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.