REIMBURSEMENT: Prepare To Prove Monthly Home Visits Weren't Wasted Trips
Troubleshoot denials with our handy checklistWatch out: When your doctor makes house calls, you'd better make sure the checks come to your office afterward.Some practices have reported receiving Medicare denials for home visit codes 99341-99345 and 99347-99350 for "medical necessity." The main snag: proving the patient couldn't have gone to the doctor's office instead. Myth: Patients must be homebound to receive a home visit from a doctor.Reality: Medicare only requires patients to be "homebound" for home health agency (HHA) services, says Stephanie Fiedler, senior health care consultant with Loeb & Troper Health Care Consulting in New...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: