Author Topic: Home Health for Physical Therapy Billing  (Read 1016 times)

PTBILLER

  • Newbie
  • *
  • Posts: 35
  • Practice Management Solutions for Physical Therapy
    • Physical Therapy Billing Services
Home Health for Physical Therapy Billing
« on: February 22, 2009, 10:28:04 AM »
Hi Michelle-

I know you are located in NY and am interested to get your input on this subject.  I bill exclusively for Physical Therapy and have my own business.  I have a lot of experience in this field, but have never billed for home health.  I called Medicare, but did not get good answers.
 
1. POS-my software has many different "service locations" so I can use "home" as POS.  Just want to double check to make sure this is correct.

2. Is the coding different?  example (initial eval is 97001GP)-is this the same for home health?  Same with therapuetic exercise (97110GP), etc.  ??

3.  Box 32 on CMS 1500-Blank? 

4.  Lastly (on this subject)...my providers are Med. B providers.  Are they even allowed to bill for home health? 

I always love to get your monthly newsletters from your mother (Alice)...tell her she is awesome!!  I have a couple more questions, but they are much shorter.  I'll start a new topic.  Thanks for any help you can give me!!
Pam McKewen

Alice Scott

  • Global Moderator
  • Full Member
  • *****
  • Posts: 209
    • Solutions Medical Billing
Re: Home Health for Physical Therapy Billing
« Reply #1 on: February 22, 2009, 01:54:40 PM »
Thanks PTBiller - You made my day!!   ;) ;) :D
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4705
    • Solutions Medical Billing
Re: Home Health for Physical Therapy Billing
« Reply #2 on: February 22, 2009, 07:38:58 PM »
Well, I guess I don't have to tell her, she read the post before me!  :)

Anyway, in answer to your questions:

1.  Yes, you can use home, or 12 for the POS

2.  Coding would be the same

3.  This is not a clear cut answer.  There have been other posts on this as well.  Some say it must be left blank, others say to use the office address there.  I think it will depend on your area, and the individual carriers.

4.  They can bill for PT in the home, if the patient has the medical necessity.

Hope that helps.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PTBILLER

  • Newbie
  • *
  • Posts: 35
  • Practice Management Solutions for Physical Therapy
    • Physical Therapy Billing Services
Re: Home Health for Physical Therapy Billing
« Reply #3 on: February 23, 2009, 06:53:45 AM »
Thanks to both of you.  I love coming here to double check if I ever have questions.  Is there a good "changes" that billers could actually post changes that certain carriers have coming up?  This would be so helpful! 
Pam McKewen