Englewood Health Systems, Inc.

Referral Information

Care Plan Oversight (CPO)

Family physicians and other primary care and specialty physicians are frequently required to manage and coordinate complex medical cases to ensure quality and efficient use of health care resources, particularly in the inpatient setting.

In a similar way, Medicare has recognized this concept as it relates to home health care patients by paying physicians for their involvement in the initial certification, recurrent recertification, and care plan oversight functions.

Care Plan Oversight billing criteria:

- Patient must be receiving Medicare covered home health services

- Physician must demonstrate that 30 minutes or more of supervision to the patient's care has
  occurred

- Physician must have seen the patient at least once during the six-month period prior to Care
  Plan Oversight billing

- Physician is the only physician billing for Care Plan Oversight for the particular patient

- The physician billing for Care Plan Oversight must be the physician who signed the home  health plan of care

- Bill must include the Medicare provider number of the patient's home health agency

To refer a patient to Englewood Health Systems for home health services
please call our office at 229-435-2109 and a representative will be happy to assist you

---