Medicare Reitnbursetnent in Hotne Care ( documentation , home health care , reimbursement mechanisms )
نویسنده
چکیده
T he requirements for Medicare coverage are stringent. The therapist's charting is the only means by which a Medicare reviewer can judge the progress of patients. Reimbursement is denied when skilled care or patient progress is not documented. With a clear understanding of the Medicare guidelines, occupational therapists will be better able to document services and record patient progress to ensure optimum reimbursement.
منابع مشابه
Adtninistrative and Professional Issues for the Occupational Therapist in Hotne Health Care ( home care services , occupational therapy services , organization and administration , reimbursement mechanisms )
Administrative and proJessional issues Jor the occupational therapist working in home health care include contractual relationships, reJerral systems, third-party reimbursement, documentation, equipment, and ethics. In this paper, the regulations Jor third-party reimbursement by Medicare, Medicaid, and Blue Cross Jor occupational therapy in home health care are explained, including the Medicare...
متن کاملChanges in the Medicare home health care market: the impact of reimbursement policy.
BACKGROUND The Balanced Budget Act of 1997 introduced 2 new reimbursement structures, the Interim Payment System (IPS, 1997-2000) and the Prospective Payment System (PPS, begun October 2000) for Medicare home health agencies (HHAs) under the fee-for-service program. OBJECTIVE This article describes and compares the impact of these changes on the Medicare home health market from a period befor...
متن کاملReforming Medicare's physician payment system.
n engl j med 360;7 nejm.org february 12, 2009 653 fees.1 Congress appropriately feared the potential problems with access to care that could result from such a fee reduction. But although putting more money into the same broken physician-reimbursement system may buy lawmakers a little more time to address the need for a new one — helpful only if they use it to set the direction for a new system...
متن کاملA Profile of Home Health Users in 1992
Recently, the use of home health services by Medicare beneficiaries has been growing. From 1987 to 1992, the percentage of all enrollees receiving home health rose from 4.8 to 7.2 percent, while the average number of visits among users increased from 23 to 54. This article uses the 1992 Medicare Current Beneficiary Survey (MCBS) to profile home health users. In addition to providing descriptive...
متن کاملAn interdisciplinary wound team in home health: the role of the physical therapist in wound care.
The healthcare industry is changing, posing challenges to Medicare-certified home healthcare agencies (HHAs). With healthcare reform and the 2011 prospective payment system changes, including reduction in reimbursement to agencies, it is imperative to assess an organization's wound care program. HHAs must provide quality care at lower costs, using evidence-based medicine that may include nontra...
متن کامل