tci Medicare Compliance & Reimbursement - 2013 Issue 12

Collections: Get Paid for Home Visits: Apply These Coding Tips

Medical necessity is key to reimbursement. If your physician makes a house call, you don’t have to write that off.  Ensure that medical necessity, not convenience, dictated the visit before you code for it. Background: CPT® introduced home visit codes 99341-99345 (for new patients) and 99347-99350 (for established patients) several years ago. Many physicians, however, are reluctant to use the codes in fear of knowing what the requirements are. Consider This Example A subscriber recently posed this question to Supercoder.com: “The physician saw a patient at his home to treat an elbow dislocation. Normally, I...

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