2025 Medicare Part B Provider HOME BASED ( PT, OT, ST) Policy and Procedure Manual
This 6 page manual establishes comprehensive policies and procedures for physical therapists (PT), occupational therapists (OT), and speech-language pathologists (SLP) providing Medicare Part B home health services. It ensures compliance with Centers for Medicare & Medicaid Services (CMS) regulations, maintains quality patient care standards, and provides operational guidance for approved Medicare Part B providers. This manual applies to all therapy personnel providing home-based services under Medicare Part B including:
- Licensed Physical Therapists and Physical Therapist Assistants
- Licensed Occupational Therapists and Occupational Therapy Assistants
- Licensed Speech-Language Pathologists and Speech-Language Pathology Assistants
- Administrative and support staff involved in Medicare Part B operations
Table of contents
- MEDICARE PART B COMPLIANCE REQUIREMENTS
Provider Enrollment and Credentialing
Enrollment Requirements
Ongoing Compliance Monitoring
Patient Eligibility and Coverage
Medicare Part B Coverage Criteria
Homebound Status Verification
- DOCUMENTATION STANDARDS
Initial Evaluation Documentation
Required Elements
Progress Note Documentation
Daily Visit Notes
Reassessment Requirements
- BILLING AND CODING PROCEDURES
CPT Coding Guidelines
Therapy Modifiers
Common Therapy Service Modifiers
Billing Procedures
Claims Submission Requirements
Documentation Requirements for Billing
- QUALITY ASSURANCE AND COMPLIANCE
Quality Improvement Program
Performance Monitoring
Corrective Action Procedures
Compliance Monitoring
Internal Audit Program
ACKNOWLEDGMENT AND COMPLIANCE CERTIFICATION
$85.00