tci Medicare Compliance & Reimbursement - 2005 Issue 15

HOME HEALTH: Outpatient Therapy Loses Home Health Payment Battles

Before treatment begins, ask the patient if he is under HHA care already.Therapists who treat home health patients when they start outpatient physical therapy may not get paid by Medicare any more. Therapists can try billing the HHA, but doing so probably won't do any good. The regulations make very clear that agencies don't have to pay for services provided by a therapist who hasn't signed a contract with the agency, explains Burtonsville, MD-based attorney Elizabeth Hogue. For an "arrangement" to be valid, the agency must be aware of the therapy you're providing, she says. ...

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