MEDICAL REVIEW: Don't Let Bogus Review Policies Fool You

Why This Topic Matters

It helps readers understand whether a home health review policy issue affects patient access, physician certification practices, and Medicare billing workflows.

Article Sections

1. Carrier medical review policies and home health access

   Discusses local Medicare carrier policies, their impact on home health certification practices, and the broader concern about limiting access to ongoing home care.

2. Medicare home health guidance and CMS response

   Summarizes references to Medicare manual guidance and CMS awareness of the policy issue, including the role of federal review activity.

3. Physician billing for certification, recertification, and oversight

   Covers physician billing for home health-related services, the physician fee schedule, and references to CMS treatment of OASIS-related review in this context.