42 C.F.R. § 484.210 Data used for the calculation of the national prospective 60-day episode payment.
Title 42 - Public Health
To calculate the national prospective 60-day episode payment, CMS uses the following: (a) Medicare cost data on the most recent audited cost report data available. (b) Utilization data based on Medicare claims. (c) An appropriate wage index to adjust for area wage differences. (d) The most recent projections of increases in costs from the HHA market basket index. (e) OASIS assessment data and other data that account for the relative resource utilization for different HHA Medicare patient case-mix.
Title 42: Public Health
PART 484—HOME HEALTH SERVICES
Subpart E—Prospective Payment System for Home Health Agencies
§ 484.210 Data used for the calculation of the national prospective 60-day episode payment.
