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Care Plan Oversight - I work for a group of orthopedics

  1. #11
    Lauderdale Lakes, FL
    Medical Coding Books
    I'm going to assume that the physician is overseeing the care of the home health patient and that the primary care is not involved (if you are uncertain about this, we always require a copy of the OMB form signed by the physician)

    CMS established G0180 and G0179 for physicians to use to bill certification and recertification of plans of care for Medicare-covered home health services. The use of these two codes are available only to physicians who are permitted to certify that home health services are required by a patient. G0180 can only be used when patients have not received Medicare covered home health services for at least 60 days. G0179 is used after a patient has received covered home health services for at least 60 days when the physician signs the certification after the initial certification period. G0179 will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new care plan to start a new episode.

  2. Default Lscc
    Is any one having trouble with the Medicare replacement plans paying for the G0179. Not sure exactly what the code is for if the certification for the home health services is part of the global. So when can you use this code. Does medicare have a guidline for this code??? if so where can I find it.


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