Physician Home Visits - Reasonableness of Services
A home visit is when a physician provides evaluation and management (E/M) services in a beneficiary's home. From January 2013 through December 2015, Medicare provided $718 million in payments for physician home visits. Physicians are required to document the medical necessity of a home visit in lieu of an office or outpatient visit. Medicare will not pay for items or services that are not "reasonable and necessary" (SSA § 1862(a)(1)(A)). We will determine whether Medicare payments to physicians for E/M home visits were reasonable and made in accordance with Medicare requirements.
|Announced or Revised||Agency||Title||Component||Report Number(s)||Expected Issue Date (FY)|
|Nov-16||Centers for Medicare & Medicaid Services||Physician Home Visits - Reasonableness of Services||Office of Audit Services||W-00-17-35754||2019|