We help you keep track of evolving payment policies for home health.
Medicare payment for home health physical therapy services is under a prospective payment system, meaning there’s a predetermined base payment according to a classification system of services — in the case of home health, the Patient-Driven Groupings Model.
Home health services also are subject to quality reporting requirements using OASIS — the Outcome and Assessment Information Set.
May 24, 2020 / Article
Jun 6, 2020
The PDGM is a shift away from volume-driven home health payment to a model that focuses on the unique characteristics, needs, and goals of each patient.
May 24, 2020 / Article
Jan 1, 2020 / Website
Additional Medicare Payment for Home Health Content
Nov 23, 2021 / Podcast
As Congress attends to business in the last days before recess for the year, there are several important issues on the table, including a bill to address the fee schedule cuts, and legislation aimed at the PTA differential.
Aug 13, 2021 / Position Paper
Beginning in January 2022, payment for Medicare Part B services provided by PTAs will be reduced by 15% due to a provision in the Balanced Budget Act of 2018.
Sep 3, 2021 / Podcast
This podcast provides an advocacy update focusing on the 2022 Medicare Physician Fee Schedule proposed rules. Where we are—and what needs to happen next.
Aug 26, 2021 / Podcast
Get updates on the proposed Medicare physician fee schedule, what we’re doing to #FightTheCut, and how you can help.
Aug 18, 2021 / Position Paper
The proposed 2022 Medicare Physician Fee Schedule rule includes deep cuts to critical services provided by dozens of health care providers, including PTs and PTAs.
Apr 13, 2021 / Review
As the U.S. health care system continues to struggle with a pandemic and its fallout, CMS keeps IRF payment changes relatively minimal.
Aug 20, 2020 / Resource
Use this guide to help you identify when you must apply the CQ modifier, which we updated in March 2021 to reflect new details from CMS.
Mar 17, 2021 / News
Time is up on the moratorium on recoupment for funds received through the Accelerated & Advance Payment program.
Feb 5, 2021 / Resource
Jan 25, 2021 / Article
APTA successfully advocated for CMS to lift misguided coding edits, and we're working to bring commercial payers around.