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 ( (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.