Billing and Coding: Physical Therapy - Home Health

Medicare home health physical therapy is covered when the beneficiary is homebound, under a physician's care, receiving services under a physician-established and periodically reviewed plan of care, and needs skilled physical therapy documented as reasonable and necessary. Physical therapy must be ordered by a physician, provided by qualified PT personnel, and supported by a valid physician-signed plan of treatment and per-visit treatment notes; packaged programs and services by aides/technicians are not covered.

"Beneficiary is confined to the home to qualify for the Medicare home health PPS benefit."

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