SA91
Networker
Hi all,
Please may someone help and shed some more clarity on the following:
For individuals under a home health plan of care, payment for all services (nursing, therapy, home health aides and medical social services) and routine and non-routine medical supplies, with the exception of certain injectable osteoporosis drugs, DME, and furnishing negative pressure wound therapy (NPWT) using a disposable device is included in the HH PPS base payment rates. HHAs must provide the covered home health services (except DME) either directly or under arrangement, and must bill for such covered home health services.
We have a provider that did the wound care for their patient in office but then orders Home Health to take care of dressing changes and so forth. Medicare is kicking back saying that they will not cover the Home Health. Does this need to be billed as consolidated service?
Thank you!
Lisa T.
Please may someone help and shed some more clarity on the following:
For individuals under a home health plan of care, payment for all services (nursing, therapy, home health aides and medical social services) and routine and non-routine medical supplies, with the exception of certain injectable osteoporosis drugs, DME, and furnishing negative pressure wound therapy (NPWT) using a disposable device is included in the HH PPS base payment rates. HHAs must provide the covered home health services (except DME) either directly or under arrangement, and must bill for such covered home health services.
We have a provider that did the wound care for their patient in office but then orders Home Health to take care of dressing changes and so forth. Medicare is kicking back saying that they will not cover the Home Health. Does this need to be billed as consolidated service?
Thank you!
Lisa T.