Tag: G-codes

CMS Clarifies Telehealth Reporting on Home Health Claims

The National Association for Home Care & Hospice (NAHC) has received clarification from the Centers for Medicare & Medicaid Services (CMS) regarding a several issues concerning submitting claims with the new G-codes for telehealth encounters. CMS has indicated that they do not want home health agencies (HHAs) to submit a claim if the only services…

CMS Issues Telecommunications G-Codes for Home Health Reporting

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 12805 that creates new G-codes for reporting home health services furnished by telehealth and to revise Original Medicare systems to process them without affecting payment to the home health agencies (HHAs). In the CY 2023 Home Health Proposed Payment System final rule, CMS…

CMS Home Health Rule: Quality Reporting Program

CMS proposed and finalized to end the suspension of the collection of Outcome and Assessment Information Set (OASIS) data on non-Medicare and non-Medicaid patients, and to require HHAs to report all-payer OASIS data for purposes of the HH QRP for CY 2025.  The Centers for Medicare & Medicaid Services (CMS) proposed for the CY 2025…

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…