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Tsaav:
I was wondering if anyone could help with billing a post hospital visit for a home health agency. ??? I think that it should be 99600 but I get that code denied every time I use it. I am billing to WI state medicaid. Please help...any suggestions will be apperciated. Thanks

Michele:
99600 is an unlisted home visit code and that may be the problem.  Medicaid varies by state.  What is the denial stating?

Michele

Tsaav:
Well they gave me 6 denial codes:

0116 - Procedure Code or Drug Code not a benefit on Date of Service.
0184 - Procedure Code is restricted by member age.
0859 - Modifiers submitted are invalid for the Date of Service or are.
1279 - Procedure not payable for Place of Service.
1280 - Rendering Provider Type and/or Specialty is not allowable for the service billed.
1521 - Procedure Code is not allowed on the claim form/transaction submitted.

I didn't use a modifier on this code. There is one that is for a follow up visit but this wouldn't be a follow up. Should I try with the modifier or should I try T1001 which is a nursing assessment/evaluation under medicaid. Is a PA need to bill the post op visit?

PMRNC:
You have more than a coding error denial, you have to check POS, Patient's age, etc. I would call the carrier with that many reason codes listed.

Tsaav:
Thanks, I'll give them a call.

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