Home Health Articles and Information


Apr 27, 2020 6:00:00 AM / by Kristi Bajer, BSN, RN, COS-C

Telemedicine in Home Health is a Good Idea

 What if you could spend $500 less on every patient episode  and maintain or improve your outcomes?  That's what a well managed telemedicine/telehealth program can do.  Home health has shied away from using telemedicine/telehealth for years since it is "not billable".  When CMS announced it was expanding telemedicine under the 1135 waiver HHAs were temporarily hopeful this would extend to home health.  Those hopes have not been realized-- yet.  But your home health agency should


Here is why:

  • Decrease costs

            Reduce total in person visits

            No mileage or drive time for telemedicine visits

            Decrease the actual visit cost by using salaried office staff

  • Decrease Risks

            Reduced in-person exposure to both patients and clinicians

            Reduce acute hospitalizations

  • Conserve Resources during COVID-19

          Decrease PPE use 25 percent or more

          Utilize  clinicians who are in a “high risk” category for telemedicine visits

          Utilize clinicians who are in quarantine for telemedicine visits


A strong telehealth/telemedicine program makes sense during a pandemic, and it will make sense after as well.  An episodic payment model gives home health the freedom to decide what our visit structure will look like.  With attention to the LUPA threshold, your agency will only benefit from finding creative ways to provide excellent patient care using fewer resources.  In PDGM,  a "Value-based payment" system, those embracing technology will quickly be able to provide better care for lower costs.  See the cost comparison below:



Tags: PDGM, Value-based care, Outcomes, Home Health, COVID-19, Telehealth

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.