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Provider Resource Center: Home health provider
Home health authorization provided by WellSky®
Zing has contracted with WellSky to perform prior authorization for skilled home health requests.
Note: The prior authorization request will originate from the acute or post-acute care setting unless it is a community referral or concurrent review.
WellSky will provide authorizations for the following G codes:
– Services performed in 15-minute increments –
| G0151 | Physical Therapy |
| G0152 | Occupational Therapy |
| G0153 | Speech-language Pathology |
| G0155 | Clinical Social Worker |
| G0156 | Home Health/Hospice Aide |
| G0157 | Physical Therapist Assistant |
| G0158 | Occupational Therapist Assistant |
| G0159 | Physical therapy establish or deliver safe and effective physical therapy maintenance program |
| G0160 | Occupational therapy establish or deliver and effective occupational therapy maintenance program |
| G0161 | Speech-language pathology establish or deliver safe and effective speech-language pathology maintenance program |
| G0162 | Registered nurse (only) for management and evaluation of plan of care (POC) |
| G0299 | Direct skilled services of a registered nurse |
| G0300 | Direct skilled services of a licensed practical nurse |
| G0493 | Registered nurse for the observation and assessment of patient’s condition |
| G0494 | Licensed practical nurse for the observation and assessment of patient’s condition |
| G0495 | Registered nurse training and/or education of a patient or family member |
| G0496 | Licensed practical nurse training and/or education of a patient or family member |
| G2168 | Services performed by a physical therapy assistant |
| G2169 | Services performed by an occupational therapy assistant |
Provider portal
Please use the provider portal to register a new user, start an authorization, review authorization status, and submit support clinical documentation.
Contact us
Contact the WellSky PAC Advance clinical and support teams for assistance with authorizations, program inquiries and feedback, training requests, language assistance, and general questions.
Training
Register your team for a provider information session to learn about working with WellSky PAC Advance to support post-acute care management.
Provider resources
Access our library of provider resources that will help you successfully navigate the WellSky PAC Advance program.
Documentation
Find answers to frequently asked questions about WellSky PAC Advance.
Provider training schedule PDF
Access scheduling information about recurring (virtual) provider training sessions.
Pre-authorization requirements PDF
Review pre-authorization requirements, clinical guidelines, and scope of services provided by WellSky PAC Advance.
Quick reference guide: WellSky PAC Advance provider portal new user registration PDF
Learn how to register your username and organization information, submit a prior authorization, and more.
Quick reference guide: Submitting an initial authorization request PDF
Learn how to identify WellSky-managed patients and build an initial authorization request.
Forms
Post-acute care authorization form (SNF, LTACH, IRF) PDF
Use this form for PAC facility requests.
Post-acute care authorization form (home health) PDF
Use this form for home health requests.
Expedited request attestation form PDF
Use this form to request urgent review and determination for a prior authorization request.
Provider portal – new team submission template XLXS
Use this template to submit multiple new users for the WellSky PAC Advance provider portal.
Coming Soon
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Provider scorecard (example)
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WellSky Home Health EMR user guide