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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.

See more information on home health physical therapy.


Recommended Content

APTA Suggests: More on the Review Choice Demonstration

May 24, 2020 / Article

Patient-Driven Groupings Model

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.

CMS Resources on Payment in the Home Health Setting

May 24, 2020 / Article

APTA Home Health Section

Jan 1, 2020 / Website


Additional Medicare Payment for Home Health Content

APTA Payment and Regulatory Update Webinar Series

Jan 1, 2020 / Resource

These live webinars give APTA members the opportunity to learn about the latest and most pressing payment and regulatory issues, as well as pose questions to staff experts.

Position Paper: 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.

APTA Practice Advisory

Mar 1, 2022 / Article

An APTA challenge to the proposed 2022 fee schedule enables PTs to use new CPT codes for remote therapeutic monitoring.

CMS Makes Changes to DMEPOS Prior Approval, Other Restriction Lists

Jan 21, 2022 / News

The changes, many of which could affect PTs, will begin April 13. Now's the time to prepare.

Final DMEPOS Rule Streamlines Benefit and Payment Processes for Certain Devices

Jan 11, 2022 / Review

CMS also chooses to not finalize reforms to the HCPCS Level II application process.

Position Paper: Medicare Fee Schedule

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.

Advocacy Update

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.

Advocacy Update: Fight the Cut

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.

FightTheCut Rally Fee Schedule, and August Recess - Advocacy Update

Aug 26, 2021 / Podcast

Get updates on the proposed Medicare physician fee schedule, what we’re doing to #FightTheCut, and how you can help.

Proposed FY '22 IRF Rule: 2.2% Increase; Call for Input on Equity, Reporting

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.