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tci Medicare Compliance & Reimbursement - 2015 Issue 6

Reader Question: Home Health Care and Billing Appropriate HCPCS Codes

Question: Our physician recently contacted a home health care agency to plan and provide home health care to a debilitated patient who could not come to our office for follow up care. What codes can we use to report the services of our physician? The patient is a Medicare patient. Answer: If the physician undertook to certify the home health care that he ordered, you may be able to report the services of your internist with the HCPCS code, G0180 (Physician certification for Medicare-covered home health services under a home health plan of care [patient not present], including contacts...

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