Do physical therapy services provided by a Home Health Agency apply to the financial limits (cap) for Part B Physical Therapy?
Home Health Services are typically provided under Medicare Part A and therefore do not impact the ‘cap’ for Part B services. A prudent provider should make certain that the patient is discharged from the home health agency prior to initiating care so that services provided do not fall under the Consolidated Billing provision for Home Health Agencies. Please note that, while rare, there are situations that Home Health reimbursement is under Part B. Please see FAQ on this subject.
