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Medical Billing Forum
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home visits
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Topic: home visits (Read 3929 times)
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
home visits
«
on:
November 03, 2010, 12:29:22 PM »
I have noticed that home visits are starting to come back. Does anyone know if Blue Cross is reimbursing for home visits?
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Michele
Administrator
Hero Member
Posts: 5927
Re: home visits
«
Reply #1 on:
November 03, 2010, 02:46:24 PM »
I think it will vary from plan to plan and state to state. Personally I believe our local BC pays for home visits if the patient isn't able to travel to the office.
Michele
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: home visits
«
Reply #2 on:
November 03, 2010, 07:54:24 PM »
ok, so for example: if we have a bc client for therapy and is a chronic pain patient. if covered by bc, and provider goes to the home for a therapy visit (mental health) for 45-50 minutes (90806), would i use this code and place of service as patient home? the description of a 90806 is in office or non facility, is non facility concidered a person's home?
have I confused you yet? I appreciate any help, and thanks michelle
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PMRNC
Hero Member
Posts: 4562
Re: home visits
«
Reply #3 on:
November 04, 2010, 09:12:52 AM »
You have to call the carrier to establish medical necessity and then obtain an authorization, the mental health carriers that cover home visits will review on a case-by-case basis, I believe you will have to have the referring physicians information to show why the patient cannot travel to the office.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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Michele
Administrator
Hero Member
Posts: 5927
Re: home visits
«
Reply #4 on:
November 04, 2010, 09:48:59 AM »
But yes, if the therapy is approved, you would just use the 90806 with the place of service as 12.
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Medical Billing Forum
Re: home visits
«
Reply #4 on:
November 04, 2010, 09:48:59 AM »
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: home visits
«
Reply #5 on:
November 04, 2010, 01:45:42 PM »
ok great. thanks for your help. This is a territory we are looking into and I just trying to cover all basis for my providers.
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PMRNC
Hero Member
Posts: 4562
Re: home visits
«
Reply #6 on:
November 05, 2010, 09:32:16 AM »
I have one client who does a couple of here and there home visits, one of the carriers is Aetna and the other is BCBS, both will actually authorize home visits after medical documentation is submitted from the medical provider and they will issue the authorization that will specifically state for home visits. Both only authorize one at a time though so we have to keep on top of the patient's doctor for when a new treatment report is needed.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
rlh76
Newbie
Posts: 1
Re: home visits
«
Reply #7 on:
December 28, 2010, 01:00:06 AM »
Is there a way to get paid for travel time/mileage for home visits? What cpt4 would be used...for example to send to a workers comp or auto carrier?
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: home visits
«
Reply #8 on:
December 28, 2010, 10:59:44 AM »
that is a very good question. I would love to find out that answer also. However, I am thinking that drive time may be included in the cpt.
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Michele
Administrator
Hero Member
Posts: 5927
Re: home visits
«
Reply #9 on:
December 28, 2010, 04:00:11 PM »
I am not aware of any cpt code for travel time/mileage. I believe it is included with the rate when the place of service 12 is used.
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Re: home visits
«
Reply #9 on:
December 28, 2010, 04:00:11 PM »
PMRNC
Hero Member
Posts: 4562
Re: home visits
«
Reply #10 on:
December 31, 2010, 10:14:00 PM »
NO they cannot bill for travel/mileage..it is considered to be included.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Medical Billing Forum
Re: home visits
«
Reply #10 on:
December 31, 2010, 10:14:00 PM »
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Medical Billing Forum
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home visits