Skip to main content

I'm doing everything right, so why are my homecare reimbursements a problem?

Let's say you are a physician in a rural area and you have a sizable percentage of patients that are seen by homecare agencies

Those patients require additional communication with homecare agencies, and added overhead that comes with managing remote homecare. 

And with a 1/3 of your patients requiring homecare, you and your staff already made changes to your workflow to adapt and adjust for managing and overseeing agency nurses. 

Here are the Top 3 reasons why after doing all the work, reimbursements for your work might still be lagging, often significantly. 

1. Not taking advantage of all the available billing codes

There are 3 main billing codes that you can use as a framework for your reimbursements. 

  1. G0180 - Physician certification for a home health patient
  2. G0179 - Physician recertification for a home health patient
  3. G0181 - Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency 
The first two -- the certification and recertification are easiest because they just require a single document to be signed, and they can simply be billed for. 

Its the third one -- Physician supervision, also referred to as Care Plan Oversight, or CPO -- that is the more complex one and the one billing code that provides the largest reimbursement and makes it possible to bill under that code every 30 days.

CPO requires tracking all the work between the physician and the home health agency, and using that work as basis for billing for CPO, which requires 30 minutes per patient per month to have been done towards patient care.  That is why the best way to do this is with software, rather than manually with papers. Which brings us to the next point...

2. Chasing around for papers and documents 

Billing for any of the home health billing codes mentioned above requires documentation as proof that work was done. You usually dont have to submit this information with your billing, but you have to have it available for auditing purposes.

This requires keeping track of all your certification and recertification documents (easier) and also keeping track of all documentation that shows the 30 minutes of work done for a patent in a given month (slightly harder). Which brings us to the third and final point...

3. Not formalizing all the work you are already doing

Not keeping track of all the billable home health work an oversight you are already doing is the single biggest obstacle towards fully getting reimbursed for your work. You and your agencies are already in touch and doing work together, but is there a proper work and document trail that shows everything that was done? Does the agency send appropriate paperwork to reflect all their work, and do you have all the paperwork that reflects your oversight and instructions?

That is exactly what we at Doctor Alliance focus on and can help you get it all figured out with your free account.  


  1. Thanks for sharing the best information and suggestions, I love your content, and they are very nice and very useful to us. If you are looking for the bestDoctor Gold Coast, then visit Medical on Miami. I appreciate the work you have put into this.

  2. This is a great article with lots of informative resources. I appreciate your work this is really helpful for everyone. Check out our website Home Visiting Doctor for more Miami Village Medical Practice. related info!

  3. Hi to every single one, it’s truly a good for me to visit this web page, I love your content, they are very nice and it includes helpful Information. Check out our website Doctor near Palm Beach for more The Pines Family Practice. related info! I am truly pleased to read this website posts which carries lots of helpful data, thanks for providing these kinds of statistics.

  4. I agree with a lot of the points you made in this article. If you are looking for the Medicare Software Online, then visit PPMP. I appreciate the work you have put into this and hope you continue writing on this subject.

  5. I found your blog on Google and read a few of your other posts. I just added you to my Google News Reader. You can also visit chromic catgut for more Unisur Lifecare Pvt. Ltd. related information and knowledge, Keep up the great work Look forward to reading more from you in the future.

  6. Are NP and PA's able to use this platform?

  7. You have a genuine capacity to compose a substance that is useful for us. You have shared an amazing post about doctor. Much obliged to you for your endeavors in sharing such information with doctor appointment in USA

  8. It's nice to see this article. It is really appreciable. Thank you so much for sharing such an informative article about gynecology. Best gynecologist in Jaipur

  9. Remarkable post. I simply came across your blog and desired to say that I have really enjoyed searching your blog posts. Thank you for sharing such blogs.Surrogacy cost in Pune

  10. If you are willing to experience versatility then there is no one better than our Busty Escorts Service in Haridwar.
    These Cheap Escorts Service in Haridwar can be compared with the heavenly divas holding the best sensual moves.
    Thus you will never miss out on anything when you are with our Escorts Agency in Agra.
    Understanding your desires our Call Girls Booking in Jaipur craft the session that gives an exceptional pleasure to the clients.
    Our Call Girls Booking in Indore are certainly rewarding for our clients.
    These babes never hide anything from the clients or show any sort of tantrums.
    Offering the best service to their clients, Call Girls Booking in Haridwar showcases everything in front of you.
    Now you need to choose your best mode of satiation.

  11. I recently touch your blog post it is my first time in your blog post I have read such a amazing information thanks
    Approved Vitamins Discount Code

  12. Valuable information. Thanks for publishing such great information. You are doing such a great job. This information is very helpful for everyone. Keep it up. Thanks. Online Suboxone Doctor


Post a Comment