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Home Health 30-Day Therapy Reassessments

As every home health therapist knows, Medicare requires a 30-day reassessment at least every 30 days but where did this requirement come from and why is it so important? A Brief History In the 2011 Home Health Final Rule, the Centers for Medicare & Medicaid Services (CMS) proposed a change to the frequency of therapy

End of the STG/LTG Requirement from Palmetto GBA? Not So Fast.

Palmetto GBA is the home health Fiscal Intermediary (FI) in AL, AR, FL, GA, IL, IN, KY, LA, MS, NM, NC, OH, OK, SC, TN & TX. If you blinked, you might have missed the changes to the Local Coverage Determinations (LCDs) from Palmetto GBA on June 23, 2016. The prior Physical Therapy and Occupational

Foolproof Homebound Status Documentation in therapyBOSS

Even though homebound status documentation in therapyBOSS already provides clinicians with means to reflect the patient’s homebound status in a compliant manner, we recognize that monitors are looking for any and every excuse to substantiate denials. In our continuous effort to help clinicians easily create 100% defensible documentation, we are revising the Homebound Status section

Restorative vs Maintenance Therapy – New Home Health Documentation Requirements

Palmetto GBA updated their PT and OT local coverage determinations (LCDs) on 3/12/15 to include provider education and guidance regarding documentation of restorative versus maintenance therapy. The PT utilization guideline states “Whether the plan is rehabilitative/restorative or maintenance should be indicated on the CMS-485 or on the OASIS M1800-M1910 with reference to ADL/IADL’s and current

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