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
May 18, 2022 / 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.
Mar 2, 2022 / 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.
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.
Dec 2, 2021 / Position Paper
The 2023 Medicare Physician Fee Schedule proposed rule released by CMS includes deep cuts to needed services provided by dozens of health care providers, including physical therapists.
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.
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.
Mar 19, 2021 / 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.