Home health rural add-on payments will now vary based on the county in which the service was furnished. Medicare requested the National Uniform Billing Committee create a new code to meet this requirement. The new value code 85 is effective on January 1, 2019 and is defined as “County Where Service is Rendered.” A county-based rural add-on is applied to the national, standardized episode rate, national per-visit payment rates, Low Utilization Payment Adjustment (LUPA) add-on payments, and the Non-Routine Supplies (NRS) conversion factor when home health services are provided in rural (non-Core Based Statistical Area (CBSA)) areas for episodes and visits ending on or after January 1, 2019 and before January 1, 2023.
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