Author Topic: Home Health Recert and discharge  (Read 2027 times)

mvalles80

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Home Health Recert and discharge
« on: June 25, 2009, 09:41:38 AM »
When a patient's plan of care is recertified or when they are discharged is there a HCPCS code for that? And would private insurance be billed the same as medicare, as far as the coding?

Michele

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Re: Home Health Recert and discharge
« Reply #1 on: June 26, 2009, 08:29:14 AM »
Try this:

HCPCS G0179
    Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period

I don't see anything for the discharge.

Michele


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RCLEARH2O

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Re: Home Health Recert and discharge
« Reply #2 on: June 26, 2009, 10:14:43 AM »
I have another question regarding Home Health certs/recerts. When I bill what date should I be using? Example the start of care is 5/17/09 and the MD signed off 6/25. Should I use the 5/17 or 6/25? It's documented in the chart as 6/25 review. If I use 6/25 and the MD signs the next order as soon as it's received then I would be billing less than 60 days apart. Can someone please help clarify this. Also does  the start date need to go on the claim form?  We are just starting to bill for these services.

Thank you for any help.

Robin

Michele

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Re: Home Health Recert and discharge
« Reply #3 on: June 30, 2009, 08:15:43 PM »
Are you billing on a CMS form or a UB04?
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RCLEARH2O

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Re: Home Health Recert and discharge
« Reply #4 on: July 01, 2009, 10:03:16 AM »
CMS


Michele

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Re: Home Health Recert and discharge
« Reply #5 on: July 02, 2009, 07:39:37 AM »
The start date should go in box 14.  The dates that you are currently billing for should go in 24a.  If you had a recent order from the dr that is after the start date I would put that in box 19.

Michele
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RCLEARH2O

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Re: Home Health Recert and discharge
« Reply #6 on: July 02, 2009, 09:26:09 AM »
THANK YOU