Home health agencies are reimbursed on a prospective payment system (PPS) for Medicare patients. This PPS is called

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Home health agencies are reimbursed on a prospective payment system (PPS) for Medicare patients. This PPS is called home health resource groups (HHRGs). The HHRG system assigns patients to one of 432 case-mix groups based on clinical and functional factors, and agencies are paid a predetermined rate for each group. Therefore, A) is the correct choice. B) case-mix groups (CMGs) are used for determining reimbursement for inpatient rehabilitation facilities, C) diagnosis-related groups (DRGs) are used for determining reimbursement for hospitals, and D) resource utilization groups (RUGs) are used for determining reimbursement for skilled nursing facilities.

Home Health Agencies Are Reimbursed on a Prospective Payment System