Claims, Pricers, and Codes

CY 2015 HH PPS PC Pricer and PPS Main Frame Pricer Updates Available

The PC Pricer is a tool used to estimate Medicare PPS payments. The final payment may not be precise to how payments are determined in the Medicare claims processing system due to the fact that some data is factored in the PC Pricer payment amount that is paid by Medicare via provider cost reports.  The CY 2015.1 Home Health (HH) Prospective Payment System (PPS) PC Pricer and the HH PPS Main Frame Pricer are now available on the HH PPS PC Pricer web page in the “Downloads” section.