Institutional and Home Care Patient Education Programs

Medicare may reimburse patient education programs provided by hospitals, SNFs, HHAs, and OPTs when the education is an appropriate, integral, and reasonable/necessary part of a covered medical treatment. Education provided as part of routine nursing, occupational therapy, or physical therapy that directly supports treatment is covered, whereas general preventive programs or education directed to the public that are not closely related to treatment are excluded.

"Medicare reimburses patient education programs furnished by providers of services (hospitals, SNFs, HHAs, and OPT providers) when the education is an appropriate, integral part of a covered service..."

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