Author Topic: dr goes to your house  (Read 3415 times)

isabelreyna

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dr goes to your house
« on: November 19, 2014, 01:52:09 PM »
Hi all
I have a question. I just got hire by a company that send dr to you home not sure what that might call.
Is that also known as home health? any way when am billing the claim, do I still need to use modifier 25 for
more then the regular visit?

PMRNC

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Re: dr goes to your house
« Reply #1 on: November 19, 2014, 02:44:30 PM »
Quote
Hi all
I have a question. I just got hire by a company that send dr to you home not sure what that might call.
Is that also known as home health? any way when am billing the claim, do I still need to use modifier 25 for
more then the regular visit?

HUH? can you please reword in a more professional manner and in ENGLISH please?
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

isabelreyna

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Re: dr goes to your house
« Reply #2 on: November 19, 2014, 03:59:47 PM »
AM SORRY, I WAS BEING PROFESSIONAL.  >:(

PMRNC

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Re: dr goes to your house
« Reply #3 on: November 19, 2014, 04:03:41 PM »
Quote
I have a question. I just got hire by a company that send dr to you home not sure what that might call.
Is that also known as home health? any way when am billing the claim, do I still need to use modifier 25 for
more then the regular visit?

I'm sorry.. but this is NOT easily understood
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

isabelreyna

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Re: dr goes to your house
« Reply #4 on: November 19, 2014, 04:16:26 PM »
the company sends dr's  to the patient house because they don't want to go to a dr waiting room or they are home bound. My question is ? Is the consider POS 12 and if they do more then a regular check up do I need to use a modifier 25? :-\

rdmoore2003

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Re: dr goes to your house
« Reply #5 on: November 20, 2014, 09:12:00 AM »
The only thing I can understand in this post, is about POS.   If the visit is done in the home, then yes, the POS would be 12.    REALLY?!?!   Please don't be snoody.  You asked a question that is not professional.   
Regina

rdmoore2003

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Re: dr goes to your house
« Reply #6 on: November 20, 2014, 09:13:07 AM »
In addition to my post, I do not think an insurance will cover a home visit just because the patient does not want to come in and sit in a waiting room.
Regina

isabelreyna

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Re: dr goes to your house
« Reply #7 on: November 20, 2014, 01:47:33 PM »
rdmoore2003 what question was not professional?? please detail it......????? am always professional and polite on these post......

rdmoore2003

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Re: dr goes to your house
« Reply #8 on: November 20, 2014, 03:12:20 PM »
Just reread your original post. I was originally agreeing with PMRNC.  I will not post again on this subject, as I see where this is going. 
Regina

kristin

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Re: dr goes to your house
« Reply #9 on: November 20, 2014, 10:35:34 PM »
Hi Isabel, I am going to jump in here and try to explain what the problem is. This is your original post:

Quote
Hi all
I have a question. I just got hire by a company that send dr to you home not sure what that might call.
Is that also known as home health? any way when am billing the claim, do I still need to use modifier 25 for
more then the regular visit?

Now, I don't know if English is your second language, but how your post should have been written, which would have made it cogent and understandable to anyone who speaks/reads/writes English as a primary language would have been like this:

"Hi all, I have a question. I was just hired by a company that sends doctors to the patient's home. I am not sure what you call this type of billing. Is it home health care? Anyways, when I am billing their claims, do I still need to use modifier 25 for more than the regular visit?"

When asked to reword your post in a more professional, understandable way, you responded with this:

Quote
AM SORRY, I WAS BEING PROFESSIONAL.  >:(

Responding in "all caps" is considered "yelling" on the internet, and is not seen as being professional.

While I understood what you were saying from your first post because I deal with non-native speakers all the time, my greater concern would be with what you were asking, as opposed to the way you asked it. You have been hired by a HHA to do their billing. You said this:

Quote
the company sends dr's  to the patient house because they don't want to go to a dr waiting room or they are home bound. My question is ? Is the consider POS 12 and if they do more then a regular check up do I need to use a modifier 25? :-\

You should already know what POS you use for home visits, and when a 25 modifier is applicable to E/M charges, and if what is being billed is medically necessary, and if you don't, then you need to consider if you are the right person for the job you were hired for. I am sorry if that seems harsh, but I have to be honest here.














PMRNC

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Re: dr goes to your house
« Reply #10 on: November 21, 2014, 03:12:07 PM »
I'll chime in again..

Here's the deal in a nutshell and being completely frank as I always am. We see these types of questions and we immediately assume "offshore'" biller. 99.9% of the time we are right. We can smell them a mile away, especially when questions are worded such as yours was.  I can't speak for others, but yes, I get a bit of a nose bleed when I see a post I am pretty sure is from an offshore medical biller. I'm just being honest, I have no desire to help offshore companies or billers and I think that's the forum consensus ..but again, just speaking for myself. I'm being honest in case you are confused.. IF we were wrong with our interpretation, we apologize but then I would think you need to word your questions a bit more professionally.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

isabelreyna

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Re: dr goes to your house
« Reply #11 on: November 22, 2014, 08:58:41 AM »
I only replying to defend myself and then am going to stop this post as I got my answer but all of you have miss interpret it totally wrong.... First of all I live in IL, I am a 52 year female, being living in U.S. for 25 years. I am a certified biller and proud of it, I just never billed a Home Health agency, we all are still learners. In my original post I didn't have anything in caps," this is yelling !!" and I was professional. I in contact with Michelle the owner of this post and she is award of this post, as I see there is a problem with your racial remarks that are not valid. There is a little saying in the medical field "don't assume".

PMRNC

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Re: dr goes to your house
« Reply #12 on: November 22, 2014, 05:12:42 PM »
Fair enough.. however LET me bring you back to your original post:

Quote
Hi all
I have a question. I just got hire by a company that send dr to you home not sure what that might call.
Is that also known as home health? any way when am billing the claim, do I still need to use modifier 25 for
more then the regular visit?

Quote
I am a certified biller and proud of it

That is great but you should also know we also know there is NO national medical billing certification.

Our "assumptions" was based on your original post which was POORLY worded and easy for us to misinterpret as an offshore medical billing company.   But I also said if I was wrong. I apologize, but then your original post was horribly worded and hardly something we could answer professionally.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com