Home Health Therapy Reimbursement Guidelines

[Guest guest]

Hi:

We contract therapy services to home health agencies. Many of the agencies

are now calculating their therapy reimbursement based on the 6,14,20 rule

that began last year. Seems like each has their own interpretation and

guidelines they'd like us to follow. I have information from Eli Rehab

Report and we've searched government websites, Medlearn and have some info,

but we still do not feel we have what we need to understand it all. Anyone

have information they can share?

Thank you,

Lott, MN, FNP

[Guest guest]

Hi ,

The whole Medicare and Home Health Agency Services are a bit much and the

answer is YES the agencies all have their own manner of interpreting the

reimbursement tables. I can tell you that going to courses offered through

Home Health Agency specific groups is the best. Your state should have such

an organization(s) that offer educational type of events. In California we

have a Home Health Organization but also a group called CAHSAH that is based

out of Sacramento and I have gone to their Home Health Manager's Seminar

(3-Days) and let me tell you, that I can now debate more effectively with

the agencies. I can quote the Conditions of Participation (CoPs), specify

certain tag numbers as well as to explain to them things like HHRGs and so

forth. I am a therapist and our company does home health visits and I urge

you to find such a group in your state. Simply, ask the agencies that you

work with, where they go for training. I will be going to an

Administrator's Workshop later this year in Las Vegas through CAHSAH. Good

Luck!

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

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Thank you.

On Thu, Apr 30, 2009 at 1:19 PM, Lott Physical Therapy - Lott <

lisa@...> wrote:

>

>

> Hi:

>

> We contract therapy services to home health agencies. Many of the agencies

> are now calculating their therapy reimbursement based on the 6,14,20 rule

> that began last year. Seems like each has their own interpretation and

> guidelines they'd like us to follow. I have information from Eli Rehab

> Report and we've searched government websites, Medlearn and have some info,

> but we still do not feel we have what we need to understand it all. Anyone

> have information they can share?

>

> Thank you,

> Lott, MN, FNP

>

>

>

--

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

Confidentiality Notice

This electronic mail transmission and any accompanying documents contain

information belonging to the sender, which may be confidential and legally

privileged. This information is intended only for the use of the individual

or

entity to whom this electronic mail transmission was sent as indicated

above. If you are not the intended recipient, any disclosure, copying,

distribution, or action taken in reliance on the contents of the information

contained in this transmission is strictly prohibited. If you are not the

addressee identified above, you have received this transmission in error,

and we ask that you please call us at to report the

receipt, and that you immediately delete the transmission.

Thank you.

[Guest guest]

Hi ,

The whole Medicare and Home Health Agency Services are a bit much and the

answer is YES the agencies all have their own manner of interpreting the

reimbursement tables. I can tell you that going to courses offered through

Home Health Agency specific groups is the best. Your state should have such

an organization(s) that offer educational type of events. In California we

have a Home Health Organization but also a group called CAHSAH that is based

out of Sacramento and I have gone to their Home Health Manager's Seminar

(3-Days) and let me tell you, that I can now debate more effectively with

the agencies. I can quote the Conditions of Participation (CoPs), specify

certain tag numbers as well as to explain to them things like HHRGs and so

forth. I am a therapist and our company does home health visits and I urge

you to find such a group in your state. Simply, ask the agencies that you

work with, where they go for training. I will be going to an

Administrator's Workshop later this year in Las Vegas through CAHSAH. Good

Luck!

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

Confidentiality Notice

This electronic mail transmission and any accompanying documents contain

information belonging to the sender, which may be confidential and legally

privileged. This information is intended only for the use of the individual

or

entity to whom this electronic mail transmission was sent as indicated

above. If you are not the intended recipient, any disclosure, copying,

distribution, or action taken in reliance on the contents of the information

contained in this transmission is strictly prohibited. If you are not the

addressee identified above, you have received this transmission in error,

and we ask that you please call us at to report the

receipt, and that you immediately delete the transmission.

Thank you.

On Thu, Apr 30, 2009 at 1:19 PM, Lott Physical Therapy - Lott <

lisa@...> wrote:

>

>

> Hi:

>

> We contract therapy services to home health agencies. Many of the agencies

> are now calculating their therapy reimbursement based on the 6,14,20 rule

> that began last year. Seems like each has their own interpretation and

> guidelines they'd like us to follow. I have information from Eli Rehab

> Report and we've searched government websites, Medlearn and have some info,

> but we still do not feel we have what we need to understand it all. Anyone

> have information they can share?

>

> Thank you,

> Lott, MN, FNP

>

>

>

--

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

Confidentiality Notice

This electronic mail transmission and any accompanying documents contain

information belonging to the sender, which may be confidential and legally

privileged. This information is intended only for the use of the individual

or

entity to whom this electronic mail transmission was sent as indicated

above. If you are not the intended recipient, any disclosure, copying,

distribution, or action taken in reliance on the contents of the information

contained in this transmission is strictly prohibited. If you are not the

addressee identified above, you have received this transmission in error,

and we ask that you please call us at to report the

receipt, and that you immediately delete the transmission.

Thank you.

[Guest guest]

Hi ,

The whole Medicare and Home Health Agency Services are a bit much and the

answer is YES the agencies all have their own manner of interpreting the

reimbursement tables. I can tell you that going to courses offered through

Home Health Agency specific groups is the best. Your state should have such

an organization(s) that offer educational type of events. In California we

have a Home Health Organization but also a group called CAHSAH that is based

out of Sacramento and I have gone to their Home Health Manager's Seminar

(3-Days) and let me tell you, that I can now debate more effectively with

the agencies. I can quote the Conditions of Participation (CoPs), specify

certain tag numbers as well as to explain to them things like HHRGs and so

forth. I am a therapist and our company does home health visits and I urge

you to find such a group in your state. Simply, ask the agencies that you

work with, where they go for training. I will be going to an

Administrator's Workshop later this year in Las Vegas through CAHSAH. Good

Luck!

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

Confidentiality Notice

This electronic mail transmission and any accompanying documents contain

information belonging to the sender, which may be confidential and legally

privileged. This information is intended only for the use of the individual

or

entity to whom this electronic mail transmission was sent as indicated

above. If you are not the intended recipient, any disclosure, copying,

distribution, or action taken in reliance on the contents of the information

contained in this transmission is strictly prohibited. If you are not the

addressee identified above, you have received this transmission in error,

and we ask that you please call us at to report the

receipt, and that you immediately delete the transmission.

Thank you.

On Thu, Apr 30, 2009 at 1:19 PM, Lott Physical Therapy - Lott <

lisa@...> wrote:

>

>

> Hi:

>

> We contract therapy services to home health agencies. Many of the agencies

> are now calculating their therapy reimbursement based on the 6,14,20 rule

> that began last year. Seems like each has their own interpretation and

> guidelines they'd like us to follow. I have information from Eli Rehab

> Report and we've searched government websites, Medlearn and have some info,

> but we still do not feel we have what we need to understand it all. Anyone

> have information they can share?

>

> Thank you,

> Lott, MN, FNP

>

>

>

--

Ralph Santos, MBA, OTR/L

Center for Physical Therapy Services

1650 E. Walnut Street

Suite A

Pasadena, CA 91106-1619

Fax

Confidentiality Notice

This electronic mail transmission and any accompanying documents contain

information belonging to the sender, which may be confidential and legally

privileged. This information is intended only for the use of the individual

or

entity to whom this electronic mail transmission was sent as indicated

above. If you are not the intended recipient, any disclosure, copying,

distribution, or action taken in reliance on the contents of the information

contained in this transmission is strictly prohibited. If you are not the

addressee identified above, you have received this transmission in error,

and we ask that you please call us at to report the

receipt, and that you immediately delete the transmission.

Thank you.