Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Home Health billing

Lina Posted Mon 12th of January, 2015 18:22:22 PM

I am billing for signing Home Health Care Plans and medicare is denying saying that it lacks information. I put the date the patient was last seen and the home health agency number on the claims and the care plan dates. I need help with what information they may be looking for

SuperCoder Answered Wed 14th of January, 2015 02:24:11 AM

We are researching and will get back to you ASAP. Thanks !!

SuperCoder Answered Wed 14th of January, 2015 02:24:11 AM
Researching.
SuperCoder Answered Wed 14th of January, 2015 07:17:31 AM

Thank you for your question. Can you provide the CPT or HCPCS codes you are billing?

Lina Posted Wed 14th of January, 2015 17:45:00 PM

G0179, G0180, G0181

Lina Posted Wed 21st of January, 2015 11:41:05 AM

Can you tell me if there is any update on the question

SuperCoder Answered Thu 22nd of January, 2015 10:47:46 AM

Thanks for your patience. We are researching and will get back to you ASAP.

SuperCoder Answered Thu 22nd of January, 2015 10:47:46 AM
Researching.
SuperCoder Answered Tue 27th of January, 2015 09:51:23 AM

Medicare requires that physicians who furnish care plan oversight services document those services that were furnished, the date and the length of time associated with those services.

The physician must be able to demonstrate, through documentation in the patient’s record, that at least 30 minutes were spent on oversight of the home care plan of care during the calendar month. The documentation must include the dates and amount of time associated with each encounter.

Dates of service entered on the claim form must be the first and the last date during which documented care plan oversight services were actually provided during the calendar month, not just the first and last days of the calendar month in which the claim is submitted.

All claims for care plan oversight must contain the six-digit Medicare provider number of the home health agency rendering covered Medicare services during the period in which the care planning oversight was furnished.

Care plan oversight services are to be billed only once per calendar month with one month’s services per line item.

If you are following all the rules, please contact Medicare and ask for specific information that they founding lacking in claim. Thanks !!

Related Topics