Advanced Search

Medicare Compliance & Reimbursement

Physicians:

Docs Can Reap New Opportunities For CPO

Published on Sun Nov 21, 2004

If you have patients in home health care, billing Medicare for keeping tabs on them is easier than ever.
 
The 2005 physician fee schedule final rule says you can bill for care plan oversight (G0179-G0180) even if a provider other than the one who certified the patient for home health provides the CPO.
 
This rule opens the door for non-physician practitioners such as nurse practitioners and clinical nurse specialists to bill for CPO. Physician assistants also can provide the service, but can't bill for CPO on their own. NPPs can't certify patients for home care, but now they'll be able to provide CPO for patients whom the physician has certified.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All