CMS recently released an interim final rule that allows Nurse Practitioners (NPs), certified Clinical Nurse Specialists (CNSs), and Physician Assistants (PAs) to certify beneficiaries for eligibility under the Medicare home health benefit and oversee their plan of care.
This is a permanent change, which will continue after the end of the pandemic. This is an implementation of the CARES Act, enacted to deal with the COVID-19 crisis.
“Effective for claims with dates of service on or after March 1, 2020, these non-physician practitioners may bill the following codes:
- G0179: Physician re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care
- G0180: Physician certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care
- G0181: Physician supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans
The descriptors of the three codes will be revised at a later date to include the non-physician practitioner specialties.”
Source: NAHC Report
