ExpiredHome Health Therapy: Policy and Practice

  • June 12, 2014
    2:00 pm - 3:30 pm

Home Health Therapy: Policy and Practice

Thursday June 12th, 2:00-3:30pm

Presented By: Karen Vance, OTR

Therapy service delivery in home health illustrates well how policy and payment models can drive practice. The shift in Medicare payment from cost based to prospective payment with the therapy threshold calculation created a dramatic change in therapy utilization. The corresponding shift from process based to outcome based quality measures created opportunities to connect therapy utilization with the outcomes needed in home health. However the emphasis on visit count overshadowed such opportunities. The visit count and reassessment requirements saw additional changes in utilization as well as office processes to assure proper billing. The impact from the Jimmo vs Sebelius ruling has yet to see the full impact on practice due to the emphases still being on visits versus plan of care content. The MedPac recommendations, however, will have the greatest impact as the emphasis shifts further from ‘volume based to value based’ health care. The question remains, can therapists demonstrate the value brought to home health when there is no longer an emphasis on visits?

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