It’s hard to explain our situation, but I will try. The problem we have is that we have a contract with an outside therapy provider. There is a request to have home-based outpatient therapy by the PT but
we would not admit for home care. The therapist clinic would bill under Med B. I just want to be able to bill out the therapy eval, if that is even possible without an admission & HIPPS code.
Cyndi Onkka,
Assistant Director
Pennington & Red Lake County Public Health & Home Care
101 Main Ave N
Thief River Falls, MN 56701
Phone: 218-681-0876
Fax: 218-683-7099
https://pennredlakecopublichealth.com
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Monday, March 4, 2024 2:26 PM
To: billers@list.mnhomecare.org
Subject: [EXTERNAL] RE: Therapy Billed thru Med B
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I am not sure I am going to answer your question or not. No matter what part of Medicare covers the home health care, A or B, the patient still needs to meet the homebound and skilled need
requirements. If they meet those requirements, then they qualify for home care and you can bill the BCBS Advantage plan. If they do not meet those requirements, they would need to go to outpatient for therapy.
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Marnie Pogreba Home Care and Hospice
OFFICE:
218 894 8324 Fax:
218 894 8099 LAKEWOOD HEALTH SYSTEM, SENIOR CAMPUS 401 Prairie Ave NE| Staples, MN 56479 |
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Cyndi Onkka
Sent: Monday, March 04, 2024 1:57 PM
To: billers@list.mnhomecare.org
Subject: Therapy Billed thru Med B
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**External Sender**
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I don’t know much of anything about billing visits for Med B services. Does anyone have recommendations on how to bill a PT eval assessment for Med B? We had a referral that ended up not needing nursing
but could benefit from some therapy through Med B. This person is on an Advantage Plan thru BCBS.
Cyndi Onkka,
Assistant Director
Pennington & Red Lake County Public Health & Home Care
101
Main Ave N
Thief River Falls, MN 56701
Phone: 218-681-0876
Fax: 218-683-7099
https://pennredlakecopublichealth.com
Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain privileged and confidential information. Any unauthorized review,
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