Federal (United States) · Agency guidance
Chapter 7
109 sections
109 sections
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10Home Health Prospective Payment System (HH PPS)
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.1National 30-Day Period Payment Rate
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.2Adjustments to the 30-Day Period Payment Rate
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.3Continuous 60-Day Recertifications
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.4Submission of the Notice of Admission (NOA)
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.5Requirements for Submission of the NOA
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.6Low Utilization Payment Adjustment (LUPA)
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.7Partial Payment Adjustment
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.8Outlier Payments
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.9Discharge Issues
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.10Consolidated Billing
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.11Change of Ownership Relationship to Periods Under HH PPS
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 10.12Change of Ownership Relationship to Episodes Under PPS
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20Conditions To Be Met for Coverage of Home Health Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20.1Reasonable and Necessary Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20.1.1Background
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20.1.2Determination of Coverage
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20.2Impact of Other Available Caregivers and Other Available
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 20.3Use of Utilization Screens and "Rules of Thumb"
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30Conditions Patient Must Meet to Qualify for Coverage of Home
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.1Confined to the Home
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.1.1Patient Confined to the Home
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.1.2Patient's Place of Residence
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2Services Are Provided Under a Plan of Care Established and
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.1Definition of an Allowed Practitioner
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.3Specificity of Orders
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.4Who Signs the Plan of Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.5Timeliness of Signature
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.6Use of Oral (Verbal) Orders
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.7Frequency of Review of the Plan of Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.9Alternative Signatures
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.10Termination of the Plan of Care - Qualifying Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.11Sequence of Qualifying Services and Other Medicare Covered
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.3Under the Care of a Physician or Allowed Practitioner
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.4Needs Skilled Nursing Care on an Intermittent Basis (Other than
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5Physician or Allowed Practitioner Certification and
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.1Physician or Allowed Practitioner Certification
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.1.1Face-to-Face Encounter
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.1.2Supporting Documentation Requirements
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.2Physician or Allowed Practitioner Recertification
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.3Who May Sign the Certification or Recertification
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.5.4Physician or Allowed Practitioner Billing for Certification and
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40Covered Services Under a Qualifying Home Health Plan of Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1Skilled Nursing Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.1General Principles Governing Reasonable and Necessary Skilled
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2Application of the Principles to Skilled Nursing Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.1Observation and Assessment of the Patient's Condition When
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.2Management and Evaluation of a Patient Care Plan
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.3Teaching and Training Activities
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.4Administration of Medications
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.5Tube Feedings
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.6Nasopharyngeal and Tracheostomy Aspiration
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.7Catheters
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.8Wound Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.9Ostomy Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.10Heat Treatments
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.11Medical Gases
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.12Rehabilitation Nursing
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.13Venipuncture
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.14Student Nurse Visits
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.2.15Psychiatric Evaluation, Therapy, and Teaching
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.1.3Intermittent Skilled Nursing Care
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2Skilled Therapy Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.1General Principles Governing Reasonable and Necessary
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.2Application of the Principles to Physical Therapy Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.3Application of the General Principles to Speech-Language
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.4Application of the General Principles to Occupational Therapy
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.4.1Assessment
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.4.2Planning, Implementing, and Supervision of Therapeutic
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 40.2.4.3Illustration of Covered Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50Coverage of Other Home Health Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.1Skilled Nursing, Physical Therapy, Speech-Language Pathology
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.2Home Health Aide Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.3Medical Social Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4Medical Supplies (Except for Drugs and Biologicals Other Than
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.1Medical Supplies
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.1.1The Law, Routine and Nonroutine Medical Supplies, and the
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.1.2Routine Supplies (Nonreportable)
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.1.3Nonroutine Supplies (Reportable)
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.2Durable Medical Equipment
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.3Covered Osteoporosis Drugs
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.4Negative Pressure Wound Therapy Using a Disposable Device
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.5Services of Interns and Residents
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.6Outpatient Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.7Part-Time or Intermittent Home Health Aide and Skilled Nursing
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.7.1Impact on Care Provided in Excess of "Intermittent" or "Part-
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.7.2Application of this Policy Revision
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60Special Conditions for Coverage of Home Health Services Under
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60.1Post-Institutional Home Health Services Furnished During A
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60.2Beneficiaries Who Are Enrolled in Part A and Part B, but Do Not
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60.3Beneficiaries Who Are Part A Only or Part B Only
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60.4Coinsurance, Copayments, and Deductibles
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 70Duration of Home Health Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 70.1Number of Home Health Visits Under Supplementary Medical
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 70.2Counting Visits Under the Hospital and Medical Plans
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 80Specific Exclusions From Coverage as Home Health Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 80.1Drugs and Biologicals
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 80.2Transportation
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 80.3Services That Would Not Be Covered as Inpatient Services
- Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 80.4Housekeeping Services