General Guidelines for Processing Home Health Agency claims

In general, describes bill processing requirements that are applicable only to home health agencies. For general bill processing requirements refer to the appropriate other chapters in the Medicare Claims Processing Manual. For a description of coverage policies see Chapter 10 in the Medicare Benefit Policy Manual and/or the Medicare National Coverage Determinations Manual.
A. Where and How to Bill
Form CMS-1450, the UB-04, is used by institutional providers, including home health agencies, to bill Medicare. Such claim forms are submitted to the regional home health intermediaries (RHHIs). Home health agencies (HHAs) bill all their home health services on this form. Some home health agencies may also become approved as DME suppliers, in which case they would submit bills for DMEPOS services to the carrier on Form CMS-1500 or the electronic equivalent.
Reference to the claim form in this chapter reference the paper or hard-copy version of the Form CMS-1450 (UB-04) unless otherwise noted. However, the instructions regarding specific data requirements apply also to electronic equivalents of the form.