We have not found a great all in one training for homecare billing, it is a learn as you go experience for us. Especially because it feels (a feeling not a fact) that insurance companies can do whatever they want in billing requirements
and they are always changing.
MHCA does have some resources, including this spreadsheet that defines authorization requirements, Medicare Advantage Plan requirements and contacts for some of the insurances.
Our best resource is this group! We have resolved more issues, received help far superior to any other resource we have tried.
I can’t speak to number 2 but that is what I know about #1. Looking forward to seeing others responses as they may have know of some good training options.
Jaime Kummer | Administrator |
River Valley Home Care Inc.
916 8th Street Farmington, MN 55024
Phone: 651-460-4201 Fax: 651-460-4208
Email:
jkummer@rvhci.com
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Gretchen Salzwedel
Sent: Thursday, July 7, 2022 8:41 AM
To: billers@list.mnhomecare.org
Subject: RE: Billing question
I have two questions:
- Is there anywhere for some good training on homecare billing? Not just Medicare but training on insurance billing as well. There is confusion on when to bill episodic vs fee-for-service
for insurances.
- Do people use other billing codes either instead of nursing visits or in conjunction with? Some examples being: 99601 (Home infusion) or some of the nursing assessment codes.
Thank you!
Gretchen Salzwedel RN
Administrator
Regency Home HealthCare
651-707-5455 Cell
651-488-4655 Office
651-488-4656 Fax
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, July 6, 2022 6:57 AM
To: billers@list.mnhomecare.org
Subject: Re: Billing question
Thank you Marnie!
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com>
Sent: Friday, July 1, 2022 11:51 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Cc: Flatau,Jennifer <Jennifer.Flatau@PerhamHealth.org>
Subject: [EXTERNAL] RE: Billing question
Hello April,
When a patient has both VA and Medicare, I believe it is the patient’s choice as to which plan they want to bill through. So, even though this patient has a skilled need for home care, but because he insisted on billing the VA, that is
allowable. I know it would be better to bill Medicare.
Medicare does allow Home Care while a patient is in Hospice, as long as home care is in there for services that are unrelated to the patient’s hospice care. You would bill Home Care with a condition code 07, including the NOA.
In the case you shared, my thought is that you would be fine to bill home care under the VA as long as it is not related to his Hospice stay under Medicare. If the patient was willing to have his unrelated home care billed under Medicare
that should be ok too.
Marnie
BTW – I have this NGS News Alert from last year, this is all I have on the subject of billing for home care and hospice at the same time under Medicare.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Friday, July 01, 2022 11:27 AM
To: billers@list.mnhomecare.org
Cc: Flatau,Jennifer <Jennifer.Flatau@PerhamHealth.org>
Subject: Billing question
|
**External Sender**
|
Good morning,
We have a patient on their VA benefit through home care for wound care. The patient's family asked that they be admitted under their VA benefit. Hospice is now involved and they are billing Medicare.
The patient would like to continue receiving home care services for their wound care. But being they are meeting a skilled need I really feel that they should have been admitted under Medicare. And home care and hospice couldn't both be billing Medicare. What
is the right thing to do in this scenario? Could the patient stay on home care under their VA benefit like the family is requesting while receiving hospice care under Medicare? Thanks!
April Hanson
Patient Accounts
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
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