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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.
Recommended Content
May 24, 2020 / Article
We’ve rounded up helpful resources on Review Choice Demonstration.
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
CMS posts a number of different sources of information on payment for home health services.
Jan 1, 2020 / Website
Engage with the leading national professional society of PTs, PTAs, and students who practice in or study the home health physical therapy setting.
Additional Medicare Payment for Home Health Content
Mar 29, 2024 / News
A new FAQ resource from CMS confirms that information in an APTA Practice Advisory is correct.
Mar 27, 2024 / Resource
The 2024 Medicare Physician Fee Schedule added three CPT codes for providing caregiver education in the interest of an individual or a group of patients without the patient present.
Mar 22, 2024 / Position Paper
Enactment of EMPOWER Act would standardize the supervision requirement from direct to general for private practices, help ensure continued patient access to needed therapy services, and give practices more flexibility in meeting needs of beneficiaries.
Mar 20, 2024 / Article
Members can choose between two versions of the tool, depending on when services were provided.
Mar 13, 2024 / News
The relief program could provide up to 30 days' payment — which would be recouped later — to improve short-term cash flow.
Feb 8, 2024 / News
Bipartisan legislation introduced in the House would relieve PTs from having to pursue signed plans of care from referring physicians.
Jul 11, 2023 / News
Some institutional settings have been receiving denials with little explanation. Here's what happened, and what you need to do.
May 24, 2023 / News
The decision to back off from locally based coverage decisions was fueled by APTA advocacy efforts.
Apr 5, 2023 / Resource
Get inside intel from APTA's Health Policy & Payment staff in these live webinars about the latest and most pressing payment and regulatory issues, and pose your questions to staff experts.
Jan 12, 2023 / Resource
APTA's Outpatient Therapy Medicare Physician Fee Schedule calculator helps you determine your payment for services under Medicare.