2. Physicians should be careful not to sign forms indicating that they are working for a medical company provided that they have not actually provided the services. The OPC generally includes monitoring of a patient who receives home care and is a time-based service. Medicare requires a physician to spend at least 30 minutes per month to bill CPOs (other payers have different guidelines) that include services such as development and/or revision of care plans, verification of subsequent patient status reports, verification of laboratory studies and other related studies, and communication with other health professionals involved in patient care. CPO services cannot be billed if they are provided by office staff and the follow-up time should apply to activities actually provided by the physician. Unfortunately, many physicians are not familiar with OPC requirements and regularly sign pre-filled CPO forms that have been completed by employees in violation of billing requirements. CPOs are an area in which recent reviews have been strengthened across the country and many physicians have been reviewed and/or charged because you have signed CPO forms for services not provided. 1. One of the main tasks of a physician working in the home health care staff/physician is to certify patients as being at home. Physicians should remember this: for most health facilities, the vital component of income is the transfer of doctors. This strongly encourages health care institutions to offer bribes to doctors in exchange for transfers.
That`s why federal health laws, including the Stark Act and anti-kickback status, have put in place a number of prohibitions to ensure that doctors make transfers based on the well-being of the patient and not on the welfare of their own paperbacks. A. You know what the requirements are to meet the definition of ”homebound.” Do not certify unless the requirements are met and documented and meet the actual legal requirements for homebound status. Don`t just rely on the employer`s definition or guidelines. In general, patients at home cannot leave the home because of the patient`s condition; the patient`s condition prevents him from leaving the house unsa assists (for example. B with a wheelchair or walker requiring special transportation or receiving assistance from another person); or leaving the country requires a significant and taxable burden. From a health facility perspective, paying false fees for the medical director, i.e. bribes, can be very profitable. The health care facility will earn much more money by counting Medicare for new patients than it pays the doctor in fictitious doctors` fees. Of course, not all medical director contracts are bribes. The government has adopted a number of rules to determine whether an agreement on the medical director is considered a valid working relationship.