CarlyN
New
I've just received my CPC-A and have no billing experience. I'm trying to educate myself with these billing scenarios and would appreciate guidance on what steps I would take to find the conclusion.
"A home health and hospice care facility is billing revenue code 272 with no HCPCS or CPT code.
This revenue code is not included in the provider’s contract but can be added if it is determined that the
code is payable with no HCPCS code. Can you confirm if the revenue code can be billed without a
CPT/HCPCS?"
Doesn't it depend on the insurance provider? And does each payer have their own list of revenue codes that are billable without HCPCS/CPT codes? Also, wouldn't I need to know under what setting it's being billed such as care received at home, a nursing home, or the hospital? Again, any guidance would be greatly appreciated!
"A home health and hospice care facility is billing revenue code 272 with no HCPCS or CPT code.
This revenue code is not included in the provider’s contract but can be added if it is determined that the
code is payable with no HCPCS code. Can you confirm if the revenue code can be billed without a
CPT/HCPCS?"
Doesn't it depend on the insurance provider? And does each payer have their own list of revenue codes that are billable without HCPCS/CPT codes? Also, wouldn't I need to know under what setting it's being billed such as care received at home, a nursing home, or the hospital? Again, any guidance would be greatly appreciated!