42 C.F.R. § 484.230   Methodology used for the calculation of the low-utilization payment adjustment.


Title 42 - Public Health


Title 42: Public Health
PART 484—HOME HEALTH SERVICES
Subpart E—Prospective Payment System for Home Health Agencies

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§ 484.230   Methodology used for the calculation of the low-utilization payment adjustment.

An episode with four or fewer visits is paid the national per-visit amount by discipline updated annually by the applicable market basket for each visit type. The national per-visit amount is determined by using cost data set forth in §484.210(a) and adjusting by the appropriate wage index based on the site of service for the beneficiary.

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