tci Medicare Compliance & Reimbursement - 2007 Issue 14

HOME HEALTH: Be Sure Your Therapy Visit Number Fits Under A New Coverage Policy Limit

Stay alert: Therapy utilization guidelines to hit agencies.The feds and payers have had their eyes on home health therapy the last few years as PPS has made its footprint in Medicare Part A coverage. That spotlight continues to heat up with a new local coverage determination that will affect providers in 16 states--and maybe more.No April Fool's joke: Regional home health intermediary Cahaba GBA proposed the local coverage determination (LCD) for home health therapy last August and has now issued the finalized determination to take effect April 1. Other Regional Home Health Intermediaries soon may follow suit...

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