G0180 Home health certification Medicare reimbursement rates in Hawaii

G0180 covers the non-face-to-face work of a physician or other eligible practitioner initially certifying a patient for Medicare-covered home health services. The practitioner reviews the proposed plan of care and information from the home health agency, establishes that the patient is homebound and needs qualifying skilled care, and signs the certification. Primary care physicians and hospitalists arranging home health after discharge commonly perform this work; eligible nurse practitioners, clinical nurse specialists, and physician assistants may also certify.

Report G0180 for an initial certification, generally when the patient has received no Medicare home health services in the preceding 60 days. Use G0179 to recertify an ongoing plan for a later certification period. The record should support homebound status and skilled need, include the signed certification and plan of care, and document a qualifying face-to-face encounter within the required window around the start of care. A separately performed face-to-face visit is reported under its own visit code; its work is not the certification service. Keep certification work distinct from any time counted toward monthly home health care plan oversight under G0181.