Palmetto GBA has updated information regarding Home Health Therapy ADRs.

Jurisdiction 11 Home Health and Hospice

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:

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