Author Topic: Home Care Billing  (Read 1020 times)

Moreys

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Home Care Billing
« on: December 09, 2008, 11:47:24 AM »
Hi,
I am a biller for a privately owned Physical Therapy practice. Some of our therapists are treating Medicare patients at the patient's home. What should the place of service be? 12? And the patient's address should be in box 32? Do we still need the same GP / KX modifiers? Will the payment/allowable amount be different?
Thanks
Moreys

Michele

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Re: Home Care Billing
« Reply #1 on: December 09, 2008, 08:17:38 PM »
Hi,
   Yes the place of service should be 12 to indicate home.  And the patients address would go in box 32.  You would still do the same modifiers as if the services were in the office.  I had always thought that services in the home were reimbursed higher, but when I've billed them out they were reimbursed at the same fee schedule as the office.

Michele
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pollyrobin

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Re: Home Care Billing
« Reply #2 on: January 20, 2009, 01:03:43 PM »
Only fill out Box 32 if address where services were rendered are Different than
patient's address in Box 5 or doctor's office address listed in Box 33.
Example: patient treated in Assisted Living Facility (13) etc... then address of assisted living facility would go in Box 32.   Patient's home address is not needed in Box 32 if
you are using place of service code for home (12).


Michele

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Re: Home Care Billing
« Reply #3 on: January 20, 2009, 05:40:19 PM »
Thanks pollyrobin.  I'm not sure what I was thinking when I answered that one.  The patient's address should not go in box 32.

Michele
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