AAH finds big decreases in 2017 fee schedule

Thursday, December 22, 2016

WASHINGTON – There will be an average decrease in reimbursement of 36.8% in 2017 for the top 25 HCPCS codes for HME, according to a new analysis by AAHomecare of the new reimbursement compared to 2016 and 2015 reimbursement. Low-air loss mattresses (E0277) will see the biggest hit: about a 58% decrease in reimbursement, on average, in 2017 vs. 2016. To perform the analysis of the recently released 2017 fee schedule, AAH segmented eight geographical regions and averaged the reimbursement for all the states within each region. At the high end, the “regional rate” in New England, will decrease 60.2% in 2017 vs. 2016; at the low end, the rate will decrease 53.6% in the Southeast.