What is covered?
HRSA covers the following home health acute care skilled nursing services:
.
Full Skilled Nursing Services - that require the skills of a Registered Nurse (RN)
or a Licensed Practical Nurse (LPN) under the supervision of a Registered Nurse,
if the services involve one or more of the following:
Observation (approximately 3 weeks);
Assessment (approximately 3 weeks);
Treatment;
Teaching (approximately 3 days);
Training (approximately 4 visits unless client remains unstable); and
Management; and
Evaluation
Brief Skilled Nursing Visit - only if one of the following activities is performed
during the visit:
An injection;
Blood draw; or
Placement of medications in containers (e.g., envelopes, cups, medisets).
Note: Use revenue code 580 when billing for a brief skilled nursing visit.
Home Infusion Therapy - only if the client:
Is willing and capable of learning and managing the client’s infusion care;
or
Has a volunteer caregiver willing and capable of learning and managing
the client’s infusion care.
Infant Phototherapy – for an infant diagnosed with hyperbilirubinemia:
When provided by an HRSA-approved* infant phototherapy agency; and
For up to five (5) skilled nursing visits per infant.
Additional Information Required in the Plan of Care
Infant’s name, mother’s name, and PIC(s);
Information regarding the infant’s medical condition, and the family’s
ability to safely provide home phototherapy;
Name of hospital where infant was born and discharge date;
Visit notes that include family teaching and interventions; and
Bilirubin levels
Home health Billing Guide and process, CPT CODE, ICD CODE and how to get paid, dealing insurance denial.
Saturday, April 7, 2012
Subscribe to:
Post Comments (Atom)
Popular Posts
-
This payment occurs when a patient is transferred/discharged and readmitted to the same home health agency within a 60-day period. The ori...
-
Medicare Part A and Medicare Part B reimburse home health agencies a lump sum, which is divided into two payments for a 60-day episode of ...
-
If the person you’re caring for already has Medicare, it’s a good idea to make sure the current coverage is still meeting his or her healt...
-
We provided the contractor with a list of claims. For each claim, we included the beneficiary’s name, dates of services, and the name and ...
-
90281 Human ig, im $17.00 90283 Human ig, iv By Report 90287 Botulinum antitoxin $0.00 90288 Botulism ig, iv $0.00 90291 Cmv ig, i...
-
Credit Balance Reports Due 30 days after the end of each fiscal quarter Report over-payments from Medicare No payments wi...
-
• A health care proxy (also called a durable power of attorney). This document names a specific person to make health care decisions for s...
-
Enrollment in Medicare Part A and B is automatic when a person: • Turns 65 and is already getting Social Security or Railroad Retireme...
-
Variable Name: DEMOIND{x} where { x } ranges from 1 to 5 Label: NCH Demonstration Trailer Indicator Code Effective with Version...
-
Variable Name : HHSPNCNT Label : HHA Claim Occurrence Span Code Count The count of the number of occurrence span codes report...
No comments:
Post a Comment