The place of service code should represent the place where the majority of the plan development and review work was performed. These services generally will take place in the physician’s office when they are coordinating aspects of the patient’s care. The CPT description ("Physician certification / recertification for Medicare-covered home health services under a home health plan of care (
patient not present).....") does not emphasis the presence of beneficiary during certification or recertification. Hence the Place of service code for Home Health Certification and Care Plan Oversight Services (G0179, G0180, G0181 and G0182) would be 11 (Physician Office). Home Health and CPO services is not covered for a patient in Skilled Nursing Facility and will deny when billed with POS 31 or 32.
See also
New requirements for Home Health services
Blogger Widget
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
An OPPS payment status indicator is assigned to every HCPCS code. The status indicator identifies whether the service described by the H...
-
Ambulance transportation is a covered service when the patient’s condition is such that the use of any other method of transportation would...
-
Mohs surgery, also known as chemosurgery, created by a general surgeon, Dr. Frederic E. Mohs, is performed to remove complex or ill-defi...
-
Claim Adjustment Reason Codes (CARC) CO-22 or PR-22 This care may be covered by another payer per coordination of benefits. CO-19 This is...
-
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
-
Health benefit payers, including Medicare, are limited to use of those internal and external code sets identified in the implementation gui...
-
This procedure is medically necessary only when it requires the professional skills of a therapist, is designed to address specific ne...
-
AAPC’s Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings and held by more ...
-
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...
