Billing > Billing

dr goes to your house

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rdmoore2003:
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.   

rdmoore2003:
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.

isabelreyna:
rdmoore2003 what question was not professional?? please detail it......????? am always professional and polite on these post......

rdmoore2003:
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. 

kristin:
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?
--- End quote ---

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.  >:(
--- End quote ---

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? :-\

--- End quote ---

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.

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