BackgroundOn November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year (CY 2025). This topic lists selected items of importance to wound care and hyperbaric oxygen therapy (HBOT) programs in the
CY 2025 Medicare Home Health Final Rule: Essential Updates for Wound Care Clinicians 1. Payment Adjustments & Rate UpdatesAggregate Increase: Medicare payments to HHAs will see a slight aggregate increase of 0.5%, or about $85 million.Behavioral Adjustment: A permanent prospective adjustment of -1.975% to address the gap between anticipated and actual behavior changes under the PDGM.Revised Case-Mix Weights: Annual recalibration of PDGM weights, thresholds, and comorbidity adjustments based on CY 2023 data to match patient needs.Occupational Th