ivygirl18@hotmail.com
Networker
Hello,
I have a provider who is seeing patient at an Assisted Living facility. This facility has independent living and personal care. He sees the patient's in the personal care, but then also sees the independent living patients in the personal care facility. He is billing the independent living patient visits as Office visits 99212-99215. I do not think this is correct, but I am not sure if the assisted living facility codes are correct either. Also, the home visit codes might not be correct either because even though the patients have their own town houses and are independent living, they do get 2 meals per day, weekly housekeeping and linen service, use of all the community amenities, etc.
I read somewhere about the provider renting a space in the facility which can change what they are billing, but I cannot find this anywhere either.
I have looked in the Medicare Claims processing manual and CPT but I cannot find anything.
Any help would be appreciated!
I have a provider who is seeing patient at an Assisted Living facility. This facility has independent living and personal care. He sees the patient's in the personal care, but then also sees the independent living patients in the personal care facility. He is billing the independent living patient visits as Office visits 99212-99215. I do not think this is correct, but I am not sure if the assisted living facility codes are correct either. Also, the home visit codes might not be correct either because even though the patients have their own town houses and are independent living, they do get 2 meals per day, weekly housekeeping and linen service, use of all the community amenities, etc.
I read somewhere about the provider renting a space in the facility which can change what they are billing, but I cannot find this anywhere either.
I have looked in the Medicare Claims processing manual and CPT but I cannot find anything.
Any help would be appreciated!