This page provides basic information about being
certified as a Medicare and/or Medicaid home health provider and includes links
to applicable laws, regulations, and compliance information.
A Home Health Agency (HHA) is an agency or organization which:
• Is primarily engaged in providing skilled nursing services
and other therapeutic services;Has policies established by a group of
professionals (associated with the agency or organization), including one or
more physicians and one or more registered professional nurses, to govern the
services which it provides;
• Provides for supervision of above-mentioned services by a
physician or registered professional nurse;
• Maintains clinical records on all patients;
• Is licensed pursuant to State or local law, or has approval
as meeting the standards established for licensing by the State or locality;
• Has in effect an overall plan and budget for institutional
planning;
• Meets the federal requirements in the interest of the
health and safety of individuals who are furnished services by the HHA; and
• Meets additional requirements as the Secretary finds
necessary for the effective and efficient operation of the program.
For purposes of Part A home health services under Title XVIII of the Social
Security Act, the term “home health agency” does not include any agency or
organization which is primarily for the care and treatment of mental diseases.
A Home Health Agency may be a public, nonprofit or proprietary agency or a
subdivision of such an agency or organization.
1. Public agency is an agency operated by a State or local
government. Examples include State-operated HHAs and county
hospitals. For regulatory purposes, “public” means “governmental.”
2. Nonprofit agency is a private (i.e., nongovernmental)
agency exempt from Federal income taxation under §501 of the Internal Revenue
Code of 1954. These HHAs are often supported, in part, by private
contributions or other philanthropic sources, such as foundations.
Examples include the nonprofit visiting nurse associations and Easter seal
societies, as well as nonprofit hospitals.
3. Proprietary agency is a private, profit-making agency or
profit-making hospital.
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Giving Information too valuable for Patients as well Healthcare. In that maintain of all clinical reports was secure or paper sheet? because in my ACP Medical billing Company provides separate Medical records Software and I get accurate claims, some times it's delaying .
ReplyDeleteThank you for sharing this informative article! Excellent explanation of home health billing
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