Home Health & Hospice Week

Therapy:

Agencies Win More Leeway With Therapy Requirements

Start setting up your operations to make therapy reassessment windows. New therapy assessment requirements have eased in the 2011 PPS final rule, but agencies still have a lot of new therapy hoops to jump through to secure payment. In its July prospective payment system proposed rule, the Centers for Medicare & Medicaid Services floated the idea of requiring a functional therapy reassessment strictly on the 13th and 19th therapy visits. But in the final rule issued Nov. 2, CMS loosens up that timeframe. "We find compelling the commenters' concerns regarding scheduling difficulties," CMS says in the final rule. CMS now will require HHAs to have therapy reassessments between the 11th and 13th therapy visit and between the 17th and 19th therapy visit, it says in the rule. Clarification: "The policy applies to each discipline separately," CMS says in the rule. "The patient's function must be initially assessed and periodically reassessed [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All