Palmetto GBA has updated information regarding Home Health Therapy ADRs.

Jurisdiction 11 Home Health and Hospice

HOME HEALTH: THERAPY ADRS
Effective April 1, 2015, Palmetto GBA will require the Initial Therapy Evaluation, current therapy re-evaluation(s) for episode under review and the  previous therapy re-evaluation(s) to be submitted with ANY Home Health Therapy records requested for review.

If an initial start of care was requested for review, include the Initial Therapy Evaluation and therapy re-evaluation(s).

On subsequent episodes, include the Initial Therapy Evaluation, current  therapy re-evaluation as well as therapy re-evaluation immediately prior to the requested episode. This allows Medical Review to analyze medical necessity of services billed.

You can find the official release on Palmetto GBA’s website at:
http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Home%20Health%20and%20Hospice~9V6N8M1423

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