tci Medicare Compliance & Reimbursement - 2012 Issue 22

Home Health Coverage: Lawsuit Settlement To Torpedo Improvement Criteria

Time to beef up documentation showing the need for skilled care in maintenance therapy and chronic condition cases.Good news for home health providers: You will not forfeit Medicare coverage if your patient does not necessarily improve, thanks to a class action suit. The Obama administration has agreed in a proposed settlement of a nationwide class-action lawsuit filed last year, to scrap a decades-old practice that required many beneficiaries to show a likelihood of medical or functional improvement before Medicare would pay for home care and other post acute services, reports the New York Times.Under the agreement, which...

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