Anticipated PPS Upcoding Adjustment Has Informative Precedent

he Centers for Medicare & Medicaid Services’ (CMS) semi-secret plan to adjust Medicare 2008 home health prospective payment rates (PPS) to account for patient coding classification changes that do not reflect real changes in case mix (NAHC Report 1/9/07) is not unprecedented. In fact, as recent as 2006, CMS implemented reductions in the base payment…