Step Therapy
A rule requiring you to try a preferred, lower-cost drug before another is covered.
Definition
A rule requiring you to try a preferred, lower-cost drug before another is covered.
Why it matters
Step Therapy is part of the Medicare vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
Home Health Documentation Playbook
The complete guide to OASIS-E, Medicare compliance, PDGM, and AI-assisted documentation. Learn how top agencies reduce documentation time without sacrificing compliance.
Related terms
Listen While You Read
Conversations on medicare
Episodes from Inside Home Health that put Step Therapy in operational context.





