Frequency of Claims for Repetitive Services (All Providers and Suppliers) (Rev. 1, 10-01-03)

by  Jared Staheli
June 18th, 2015

HHAs include DMEPOS on bill types 32x or33x with home health visits bill at the freqency required for the home health. See Chapter 10 for home health billing requirements.

Other providers and suppliers, including home health agencies billing the FI on bill type 34x, submit claims on a monthly basis unless another policy that allows billing at a different frequency applies. For example suppliers may bill for more than one month's diabetic test strips.

Claims are submitted in sequence where there are cases of known continuous periods of service over an extended period (e.g., capped rental equipment or therapies). When there is a break in service (e.g. interruption of capped rental as the result of an extensive inpatient stay), suppliers should continue sequential billing when the services resume.

The purpose of these requirements is to avoid CMS operational expenditures, and at the same time simplify the review process

References:

Frequency of Claims for Repetitive Services (All Providers and Suppliers) (Rev. 1, 10-01-03). (2015, June 18). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/frequency-of-claims-for-repetitive-services-all-providers-and-suppliers-rev-1-10-01-03-26742.html

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