Medical Billing Forum

Billing => Billing => : deedee May 04, 2012, 12:44:31 AM

: Billing Home Health Care
: deedee May 04, 2012, 12:44:31 AM
Hello All,
I've never done home health care billing and I was hoping someone can advise me on the codes to use and what form to bill on? Do I still use 1500? Anything that needs to be added? I would appreciate if someone can direct me to the correct information.. My physician is internal medicine?

Thank you for all your help,

Diana.
: Re: Billing Home Health Care
: Michele May 08, 2012, 12:18:07 PM
If you are billing for professional services of the physician they would be billed the same as the office but in the home.  If you are billing for the home health agency that is done on a UB04.
: Re: Billing Home Health Care
: deedee June 09, 2012, 01:43:05 AM
Michelle,
Thank you for your help. It's home health certification. How do you know difference between G0179 code and the G0180? can you please advise..
: Re: Billing Home Health Care
: Pick3dlast June 11, 2012, 08:22:44 PM
The G0179 is the re-certification and the G0180 is the initial certification.
: Re: Billing Home Health Care
: zankareswaran July 17, 2012, 11:18:10 AM
When billing Medicare, home health agencies (HHAs) must use the individual national provider identifier (NPI) of the physician who orders/refers services, not the NPI of the physician’s group practice. If an HHA asks for your NPI, be sure to provide your individual NPI

Courtesy - FL Medicare News Letter
: Modifiers using S9123
: GTripp October 19, 2012, 11:28:28 AM
We have a client with 2x day cath change.  I have used the GA as the modifier and had no problems.  My newest issue is, the patient is now a 4x day cath change, and I am unsure of how to bill the 3rd and 4th visits or the proper modifier code to use.  Can you help with this, please?  It is a UHC claim, if that helps.
Thank You,
Georgia
: Re: Billing Home Health Care
: Michele October 22, 2012, 02:14:46 PM
I have not ever billed that before but wouldn't you just do the 3rd & 4th the same as you code the 2nd?