Where is the actual Medicare text that defines homebound status?
The Medicare Benefit Policy Manual, Chapter 7 – Home Health Services, defines homebound status and skilled services. Excerpts from this chapter are also included in our booklet, “Making Home Care Work in a Medical Practice.” The homebound definition applies to home health agency patients; however, medical necessity must be demonstrated for patients receiving house calls. A CMS intermediary directive outlined the “medical necessity” qualification. Your local Medicare intermediary may issue LCDs (Local Carrier Determinations) further defining the qualifying conditions for “medical necessity.” • Where can I find samples of a contract between a physician and nurse practitioner? The AAHCP has several sample contracts. Please contact our office for specific information. • What type of equipment should I carry with me? Your equipment will vary according to the type of practice you have chosen to pursue. For a chronic care model, the house call bag may include blood pressure cuffs with interch
