Therapy:
Watch Out For Stealth Home Care Episodes When Furnishing Part B Outpatient Therapy
Published on Fri Feb 03, 2012
The shoe may be on the other foot when you're the one furnishing Part B therapy. Providing Part B outpatient therapy in a patient's home may seem like a boon to both the patient and you. But you'll be subject to the same payment restrictions as other Part B therapy providers, which means you'll need to be on the lookout for another home care provider's presence or risk your payment. Reminder: The Medicare program does not reimburse separately for outpatient therapy services if the Medicare beneficiary is also simultaneously receiving any type of home health services being reimbursed under the Medicare Part A benefit, explains physical therapist Rick Gawenda, president of Gawenda Seminars & Consulting Inc. When another HHA is furnishing home care, the provider of the outpatient services would either have its claim denied when submitted or be reimbursed for their services and then have the money taken back [...]