Medicare Reimbursement for home health
Certification, Re-certification and
Care Plan Oversight

For information or referrals call 1-321-633-0324 or 1-866-465-2237 or email us at referrals@msscare.com.

Physician Certification (HCPCS Code GO180)

Physician Certification of Home Health Plan of Care is defined as physician services for initial certification of Medicare-covered home health services (Form 485).

Physician Re-Certification (HCPCS Code GO179)

Physician re-certification is used when the physician signs the Plan of Care (Form 485) to re-certify a patient for home health services. A physician will re-certify a patient after a 60 day certification period.

Physician Care Plan Oversight (HCPCS Code GO181)

Physicians can bill for 30 minutes of care plan oversight that includes supervision of a complicated patient and requires extensive review /revision of care plans, review of laboratory or study results, phone calls to other health professionals, and other activities associated with the patient’s home health care.

NOTE:
Physician bills for Care Plan Oversight, Certification and Re-certification should be submitted on a Form HCFA 1500.