Home Health Billing Reminder

As finalized in the CY 2020 Home Health Prospective Payment System final rule, the regulations at §409.44(c)(2)(iii)(C) were modified to allow therapist assistants (rather than only therapists) to perform maintenance therapy under the Medicare home health benefit. The Centers for Medicare & Medicaid Services (CMS) established two new G-codes to identify on home health claims…

CMS Addresses Home Health Billing for Non-Physician Practitioners

The recently released  interim final rule allows Nurse Practitioners (NPs), certified Clinical Nurse Specialists (CNSs), and Physician Assistants (PAs) to certify beneficiaries for eligibility under the Medicare home health benefit and oversee their plan of care. This permanent change, which will persist after the end of the Public Health Emergency (PHE), is an implementation of the CARES…

CMS Issues New G-Codes and Other Claims Processing Instructions

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 11721, two new G-codes to indicate on home health (HH) claims when maintenance therapy is provided by a therapy assistant. The CR also provides various clarifying changes to the Medicare Claims Processing Manual, chapter 10, in order to better reflect the policies…