Home Health Articles and Information


May 11, 2020 11:58:34 AM / by Kristi Bajer, BSN, RN, COS-C

Finally a Little Good News

The home health industry has been working to establish legislation to allow nurse practitioners, physician assistants, and other non-physician practitioners to certify home health care services for some time.  Anyone who has worked in home health care knows it has always been difficult to get physicians to sign home health orders in a timely manner. There are many reasons physicians can be difficult to communicate with including:
  • Physician’s misunderstanding of the Medicare requirements for home health
  • Physicians often overwhelmed with their own documentation requirements
  • Care for the geriatric patient often falls to the non- physician practitioners

There was high hope when the Home Health Care Planning Improvement Act of 2019 was introduced in April 2019.  However, instead of moving forward, the bill was sent to committee and never heard from again.

One of the sweeping changes included in the Coronavirus Aid, Relief, and Economic Security (CARES) Act is the ability for nurse practitioners, certified clinical nurse specialists and physician assistants to certify patients for home health care.  Non-physician practitioners may now sign the plan of care and follow a beneficiary’s home health episode without supervision of a physician. COVID-19 has brought many hardships to our industry, but the ability of non-physician practitioners to take the primary role in certification and recertification of our home health patients is one positive and very overdue change.

While most of the changes we have seen to home health care regulations are temporary during the “public health emergency” CMS has announced this is a permanent change to home health and is retroactive to March 1, 2020.


Tags: PDGM, Outcomes, Home Health, COVID-19, Home Health Care

Kristi Bajer, BSN, RN, COS-C

Written by Kristi Bajer, BSN, RN, COS-C

Kristi Bajer BSN, RN, COS-C, brings over 10 years of real world experience as a clinician, director, and administrator in home health. She is a firm believer in diagnosis driven evidence-based care in home health. Currently, she assists agencies with external chart audits and Medicare appeals, as well as providing training and coaching on OperaCare implementation and building QAPI programs using data to drive success and protect agencies from government audits.