How do we know which supplies are routine or non-routine for a home health episode?
• Is directly identifiable for an individual patient; • Can be identified and accumulated in a separate cost center; and • Is ordered by the patient’s physician and is specifically identified in the plan of care (POC) In addition, an item meets the criteria for non-routine supplies when the HHA follows a consistent charging practice for Medicare and non-Medicare beneficiaries receiving the item. Please note that even though non-routine supplies are line item billed on the final claim when submitting home health services to Medicare, they are still included in the total episode payment under the Home Health Prospective Payment System (HH PPS), and are not separately payable. The supply severity level (which is indicated by the fifth position of the HIPPS code) determines the payment amount HHAs receive for non-routine supplies. For a listing of nonroutine supplies that are included in HH PPS consolidated billing, please review the Consolidated Billing Master Supply List. Supplies not on
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