42 C.F.R. § 484.220 Calculation of the adjusted national prospective 60-day episode payment rate for case-mix and area wage levels.
Title 42 - Public Health
CMS adjusts the national prospective 60-day episode payment rate to account for— (a) HHA case-mix using a case-mix index to explain the relative resource utilization of different patients; and (b) Geographic differences in wage levels using an appropriate wage index based on the site of service of the beneficiary.
Title 42: Public Health
PART 484—HOME HEALTH SERVICES
Subpart E—Prospective Payment System for Home Health Agencies
§ 484.220 Calculation of the adjusted national prospective 60-day episode payment rate for case-mix and area wage levels.
