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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.
Recommended Content
May 24, 2020 / Article
We’ve rounded up helpful resources on Review Choice Demonstration.
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
CMS posts a number of different sources of information on payment for home health services.
Jan 1, 2020 / Website
Engage with the leading national professional society of PTs, PTAs, and students who practice in or study the home health physical therapy setting.
Additional Medicare Payment for Home Health Content
Aug 2, 2023 / Position Paper
Beginning in January 2022, payment for Medicare Part B services provided by PTAs was reduced by 15% due to a provision in the Balanced Budget Act of 2018.
Jul 11, 2023 / News
Some institutional settings have been receiving denials with little explanation. Here's what happened, and what you need to do.
May 24, 2023 / News
The decision to back off from locally based coverage decisions was fueled by APTA advocacy efforts.
Apr 5, 2023 / Resource
Get inside intel from APTA's Health Policy & Payment staff in these live webinars about the latest and most pressing payment and regulatory issues, and pose your questions to staff experts.
Jan 12, 2023 / Resource
Jan 21, 2022 / News
The changes, many of which could affect PTs, will begin April 13. Now's the time to prepare.
Jan 11, 2022 / Review
CMS also chooses to not finalize reforms to the HCPCS Level II application process.
Nov 23, 2021 /
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.
Sep 3, 2021 /
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 25, 2021 /
Get updates on the proposed Medicare physician fee schedule, what we’re doing to #FightTheCut, and how you can help.