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Agency Productivity

Things Your Agency Should Be Doing To Stay Safe During the COVID-19 Pandemic On New Year’s Day, the Wall Street Journal reported the latest, emerging COVID-19 virus variants. Meanwhile, many countries face a second surge of coronavirus infections. This startling news leaves many agency owners and...

Shelter-in-Place. Self-quarantine. Telehealth. Work-from-home. Zoom Meetings.  Microsoft Teams. Google Hangouts. Conference Calls.  Limited gatherings. COVID-19. Today’s home healthcare seems to reflect all the above changing work environments. We have seen the impact on patient care and the quick implementation of telehealth visits for home health in the name of flattening the curve, but the impact of COVID-19 goes beyond our patients. 

On November 4, 2020 the Centers for Medicare and Medicaid Services (CMS) published the final rule for 2021. Overall the changes this year were minimal since this was the first year for the Patient-Driven Groupings Model (PDGM) and there is not enough data to support significant changes. Furthermore, the COVID pandemic affected industry operations which mitigated reform to the PDGM payment structure. Agencies should review the changes affecting their operations from the fifty-nine-page rule, but here is a quick glance at the updates:

Can home health care agencies bill Medicare Part B for outpatient services? 

 

Outpatient Therapy Services BillingYes. According to CMS, outpatient therapy services may be provided by a home health agency to patients who are not homebound or otherwise are not receiving services under a home health plan of care (POC). These services are not paid under the Home Health Prospective Payment System (HH PPS). The reimbursement for the outpatient therapy services is calculated using the Medicare Physician’s Fee Schedule (MPFS).