CERTIFIED HOME HEALTH AGENCIES
EPISODIC PAYMENT SYSTEM
REBASING: CALCULATION OF NEW BASE PRICE
- Calculation of New Base Price is also available in Excel Format (XLSX, 12KB)
Analysis of paid episodic claims with start date from 1/1/13 through 12/31/13:
Total non-LUPA claims with matching OASIS data: (includes partial episodes) |
61,591 |
Adjust to "full episode equivalents:" | 53,937 |
Total service cost (based on 2011 rates): | $212,301,548 |
Amount in excess of new outlier thresholds: | $29,829,210 |
Net amount to determine base price: | $182,472,338 |
Divided by 53,937 | 3,383.05 |
Increase by 7.27% for difference between 2011 and 2013 rates: | 3,629.00 |