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99379

Haissam Posted Thu 06th of February, 2014 15:58:13 PM

Please tell how to document the above code and what date of service should I use. Also, is there a v code for this or do i use a medical diag?

SuperCoder Answered Fri 07th of February, 2014 09:31:11 AM

CPT codes 99379 and 99380 are defined for care plan oversight services provided to beneficiaries in nursing home facilities or skilled nursing home facilities (places of service = 31, 32, or 33) and are not separately reimbursed by Medicare since these services are bundled into other Evaluation and Management (E&M) codes. Providers may not bill beneficiaries for these services as non-covered services.

Billing for CPO
Establishing a monthly routine is the best way to ensure you are paid for your CPO services. Here's one approach: First, log all patients for whom CPO is provided each month. This list will remind you which charts to pull at the end of the month when it's time to submit claims. Second, keep a CPO log in each patient chart and document the date, total time and a brief description of the services each time you provide them. Be sure to sign the CPO documentation.

At the end of the month, have a staff person collect the logs from the patients' charts, total the time and bill CPO for those patients for whom you provided more than 30 minutes of CPO during the calendar month. Use the start and end dates of the month as the service dates, and put the provider number of the home health agency/hospice on the claim form. Finally, return the logs to the charts for use in future months.

Following article will benefit you - http://www.aafp.org/fpm/2005/0500/p23.html

Haissam Posted Fri 07th of February, 2014 10:26:36 AM

So the DOS is the last day of the month?

Haissam Posted Fri 07th of February, 2014 10:28:00 AM

Please disregard the last question

SuperCoder Answered Fri 14th of February, 2014 05:11:31 AM

Dates of services must be the first and last date during which documented planning services were provided. No other services, but from the CPO may be on the claim.

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