tci Medicare Compliance & Reimbursement - 2004 Issue 40

REHAB: What PTs Do Wrong When Billing For Home Visits

PTs need to show they delivered skilled therapy.Therapists know that Medicare will reimburse for home PT services for those patients who meet the Centers for Medicare and Medicaid Services' homebound care and medically necessary services requirements - but they shouldn't expect bundles of cash when they only make one house call.Typically the physician referral will say "home safety evaluation" because he or she suspects the patient has a problem getting around, says Fran Wheelock, director of program development in rehabilitation services, HealthReach Home Care and Hospice, Gardiner, ME.PTs frequently get referrals for one-time evaluations from physician...

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