Wiki Medicare Denial - Home Health

[ngomezz]

Hi there,

We had a Medicare patient that was seen at our clinic and was seen for a consult and an x-ray was done. The E/M was paid but the x-ray was denied due to the patient being enrolled in Home Health.
I am hoping to get some information on how to get this paid? I've never come across a denial like this and have no clue on how to bill. Do we treat it like an SNF or Hospice? Help...

 

[mhubert]

Some services will need to be separated out and billed to home health. I would contact the HH agency and ask them how to bill them for the xray. We used to do "client bills" for these.

 

[ngomezz]

Thank you @mhubert
That makes sense.