Results 1 to 2 of 2

Need Help With Home Visit VS Office

  1. Question Need Help With Home Visit VS Office
    New Call-to-action
    I'm hoping someone can answer my question or point me in the right direction. I work for a FQHC through Indian Health Services; the facility has made some personnel changes so myself and another co-worker are new to their billing department. Our nurse practitioner provides home visits for some of our home bound elders that live in their own private home or in an apartment complex that is called the Elder Building. We recently discovered the provider is also seeing some of her patients at the Elder Building who do not live there but are being seen out of convenience because they cannot get in to see the provider at the clinic in a timely manner. The provider dictates an office note and bills for the services with a routine office visit code. I told her she couldn't charge for those services because the patient wasn't seen at the clinic and that they didn't meet the guidelines for a home health visit. The provider states it shouldn't matter because the same entity owns both facilities and she has an office there; I argued that it does make a difference because the place of service that was billed to the insurance wasn't where the patient was seen. Can someone tell me if this is correct or can the provider continue with seeing her patients there as if they were being seen at the clinic.

    Thank you,

  2. Default Need help
    Medical Billing
    In my experience, she would have to have some sort of contracted agreement with the facility that she is using in order to return back to her office to bill for professional fees.


Similar Threads

  1. Home Visit VS Office
    By in forum E/M
    Replies: 1
    Last Post: 09-28-2018, 02:23 PM
  2. Replies: 0
    Last Post: 10-03-2016, 12:26 PM
  3. Home visit and office visit same day, how do I code
    By nelstx2 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-27-2013, 02:31 PM
  4. Replies: 1
    Last Post: 11-13-2012, 12:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.