elizabethbilling
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I need some help with billing radiology services provided to a home health patient. We have been getting recoupments from Medicare on our radiology claims when the patients are assigned to home health. We've tried billing the home health agency in place of Medicare, and the home health agency doesn't know why we are billing them. How do we get reimbursement on a claim when a patient is seen for a service, like a diagnostic mammogram, when the patient is under home health? We bill POS 11. We are NOT a hospital. The services are DIAGNOSTIC, not therapeutic. If the radiology services are unrelated to the episode of care the patient is assigned to home health for, who is supposed to pay, Medicare or the home health agency? If anyone has some advice on this issue, please let me know. I have a feeling we need to appeal to Medicare and NOT bill the home health agency.
Any input would be greatly appreciated!
Any input would be greatly appreciated!