decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Covered - Non-Covered Services / Custodial Care
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Article Overview
This short article reviews Medicare coverage concepts related to custodial care. It is relevant to coders, billers, compliance staff, and providers who need a high-level understanding of when care is considered noncovered versus when other Part B services may still be payable. The discussion focuses on broad coverage categories, home medical services, and everyday support activities.
Why This Topic Matters
Understanding custodial care rules helps billing and compliance teams distinguish noncovered support from covered medical services and avoid mistaken assumptions about Medicare payment.
What You Will Learn
- How Medicare generally distinguishes custodial care from medically covered services
- Which broad categories of patient support are described as custodial care
- That some Part B services may still be covered even when custodial care is present
- How the article frames common home and office-based service categories
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Healthcare providers
- Revenue cycle staff
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