Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 80.2

HH Grouper Decision Logic and Updates

Last amended: 2022Year: 2022Length: 114 wordsOfficial source
80.2 – HH Grouper Decision Logic and Updates (Rev. 11644, Issued: 10-13-22, Effective: 04-01-23, Implementation: 04-03-23) The HH Grouper decision logic, in the form of Java computer software, and related documentation are available to the public on the CMS website at: www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/HomeHealthPPS/CaseMixGrouperSoftware.html. The major release of the Home Health Grouper is January 1st each year with changes made as a result of the rulemaking process. There are two other off-cycle updates during the year for new and deleted ICD10-CM diagnosis codes. These are April 1st and October 1st each year. Whenever the HH Grouper is updated, Medicare also publishes a Recurring Update Notification to inform providers and A/B MACs (HHH) about the changes.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 80.2: HH Grouper Decision Logic and Updates | Justis AI