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
Aug 20, 2020 / Resource
Use this guide to help you identify when you must apply the CQ modifier. When billing timed treatment codes, first determine the total number of units that can be billed based on the 8-minute rule. Then determine, for each unit, whether the PTA furnished more than 10% of each unit independent of the physical therapist.
Aug 4, 2020 / Perspective
In an effort to get everyone on the same page, I'm debunking some of the most prevalent Medicare myths I've been seeing lately on social media and in other venues.
Aug 4, 2020 / Statement
CMS recommends significant payment reductions to more than three dozen health care provider groups for in the 2021 Medicare Physician Fee Schedule Proposed Rule.
Jun 12, 2020 / News
A bipartisan bill in the House would allow CMS to avoid damaging cuts in 2021 and establish permanent telehealth for therapy providers.
Jun 4, 2020 / News
The clarification from CMS applies to settings that use institutional claims such as UB-04.
May 27, 2020 / Article
Since January 2017, PTs use three evaluation codes and one reevaluation code.
Apr 17, 2020 / Review
For FY 2021, a pared-down proposed rule for inpatient rehabilitation facilities that sticks to the basics.
Mar 1, 2020 / Column
Here's information on how to apply the new CQ modifier to denote when outpatient therapy services are furnished in whole or in part by a PTA.
Feb 1, 2020 / Column
Changes for 2020 include new codes for dry needling and changes to a number of existing codes.
Jan 1, 2020 / Resource
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