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Changes to Requirements for Billing Physician Home Visits

Monday, June 3, 2019   (0 Comments)

The Centers for Medicare & Medicaid Services (CMS) recently released Transmittal 439/Change Request (CR) 11273, Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with Superficial Radiation Treatment.

The new transmittal updates the Medicare Claims Processing Manual, Pub. 100-04, Chapter 12, Section 30.6.14.1 – Home Services to reflect the elimination of the requirement that a medical record document is necessary to demonstrate the medical necessity of the physician home visit made in lieu of an office or outpatient visit. This is applicable for codes 99341-99350. These codes may sometimes be used by hospices or palliative care providers for billing physician services.

– Courtesy of the National Association for Home Care & Hospice


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