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Care Plan Oversight

  1. Question Care Plan Oversight
    Medical Coding Books
    I am in unfamiliar waters here and was wondering if a Specialist can bill for Care Plan Oversight?

    Thanks for the assistance....

  2. #2
    Coincidentally, I was just looking into CPO. See the Medicare Benefit Policy manual (100-2) Chapter 15, Section 30.G and the Medicare Claims Processing Manual (100-4) Chapter 12, Section 180 for CMS guidelines.

    The Medicare Benefit Policy Manual states, "The physician who bills CPO must be the same physician who signed the home health or hospice plan of care" and from this I infer that any specialist would qualify.
    Jenny Berkshire, CPC, CEMC, CGIC

  3. Default Start CPO
    Hi Team,

    I have a physician who signs for home health, but has never billed for CPO before. Where do I start, and how do I start? Can someone help with codes?

    Thanks everyone.


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