Medicare Compliance & Reimbursement

But ensure that a face-to-face visit took place before you bill. Don't let carriers undervalue your physician's care plan oversight (CPO) services. Start getting paid for CPO with a solid understanding of how and when to report 99374-99380 and G0179-G0180. Suppose your physician spends 40 minutes setting up a home-health plan of care for an elderly diabetic patient who falls outside of her home and sprains her right wrist and right ankle with multiple abrasions of the right lower leg. Due to her wrist injury, she cannot ambulate with crutches or a walker, so she is confined to a wheelchair while her injuries heal. She requires home care for assistance with activities of daily living, hygiene, and wound care. You write off the 40 minutes as non-billable time -- and in the process, you forfeit about $80 in care plan oversight services. Physicians supervising home healthcare can often recoup payment for [...]