Case Mix Diagnosis Points in 2015

For the 2nd year in a row, CMS has dealt a hefty blow to HHA’s by removing some 200 diagnoses codes from case-mix status in the 2015 PPS Final Rule

Last year, CMS removed 170 codes from case-mix status (third consecutive PPS rule with case-mix losses) Blindness/low vision, COPD/pulmonary, Depress/psych 1, 2 are categories that have experienced cuts.


  • Understand which diagnoses no longer garner case-mix points (dollars) under the PPS 2015 Home Health Final Rule effective January 1, 2015
  • Understand the reasons CMS has removed points from these diagnosis categories
  • Understand which OASIS M-items no longer garner case-mix points/reimbursement
  • Understand what documentation requirements are necessary to support primary and other diagnosis assignment on claims


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Information made available from this webinar should not be considered legal advice.  It is for educational purposes only and does not provide all available information on the subject.  Information shared is not a promise or warranty/guaranty (expressed or implied).  The opinions expressed, discussions undertaken, and materials provided do not represent any official position of Select Data