Physical therapy can be provided in a variety of settings, such as in a hospital or in an outpatient PT clinic. If a patient has difficulty leaving their home to go to therapy or it presents a health risk, in-home physical therapy may be beneficial. The patient has the convenience of receiving the treatment in their own home rather than deal with weather conditions, heavy traffic and getting in and out of the vehicle. The patient also receives one-on-one care with a therapist’s undivided attention and getting therapy in a familiar setting is often less stressful for the patient.
Depending on the circumstances, in-home physical therapy is covered by Medicare under a predetermined base payment. In the case of in-home physical therapy, it is the Patient-Driven Groupings Model (PDGM). In-home physical therapy services are also subject to quality reporting requirements using the Outcome and Assessment Information Set (OASIS).
There are no caps or limits to in-home physical therapy services covered under Medicare Part A. Patients receiving in-home physical therapy receive an individualized POC and treatment is provided on a one-on-one basis. In-home therapy also allows the physical therapist to perform a Home Safety Evaluation and provide the patient with a checklist of needed modifications and recommendations.
However, if the patient qualifies for in-home physical therapy, then the patient can receive occupational therapy as well. When the patient no longer qualifies for home health services under Medicare Part-A, they are able to continue receiving therapy services under Outpatient Medicare Part-B. These services can also be provided in the home if they meet the need.
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