Reference guides for PPS
As of Oct. 1, 2000, all home health care providers began billing their services to homebound fee-for-service Medicare beneficiaries under the home health prospective payment system. (PPS)
Two charts can be found on the Baltimore-based Health Care Financing Administration's (HCFA) Web site (www.hcfa.gov). (They're also included in the PDF for this issue of Hospital Home Health.) The charts give home health care providers an easy, at-a-glance reference guide for billing visit/service items and visit/supply items under the new PPS system using either the paper or electronic version of Form HCFA-1450 (UB-92).
Whether home health professionals need clarification for durable medical equipment, a nonroutine medical supply, a vaccination, an outlier visit, or other information, these charts give information on coding, what type of bill to use, the basis for payment and whether the claim qualifies as a PPS claim.