tci Medicare Compliance & Reimbursement - 2007 Issue 34

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...

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