Results 1 to 3 of 3

Commercial Ins Home Health Coding

  1. #1
    Smile Commercial Ins Home Health Coding
    Medical Coding Books
    Does anyone out there have Home Health billing for commercial payer experience? I have many questions and am having next to no luck getting answers. Several payers want billing done with CPT codes, others want HCPCS codes. An info/suggestions are welcome.

  2. Default Commercial Home Health Codes
    Does anyone out there have Home Health billing experiance for commercial payers. I am getting denials with no answers and many questions. Several payers want billing done with CPT codes, others want HCPCS codes. An info/suggestions are welcome.

  3. #3
    Default This will vary by payer...
    Most contracts for Home Health services are written to specifiy the use of HCPCS codes.
    However, this is going to vary by payer and by what type of services you are billing.
    If these are home infusion services, you will have HCPCS codes for the drugs and supplies and CPT code(s) for the nursing visits (if any.) You need to get together your EOBS and organize them by payer, and ask each about their denial codes and ask for clarification about why your claims are being denied.

Similar Threads

  1. PSA/Colon Screening for Commercial Ins Question
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-25-2015, 11:34 AM
  2. Papsmear only commercial ins
    By mconnolly in forum OB/GYN
    Replies: 1
    Last Post: 03-13-2012, 12:04 PM
  3. W/C + Commercial Ins E/M's
    By nyyankees in forum E/M
    Replies: 0
    Last Post: 06-22-2011, 10:42 AM
  4. Replies: 1
    Last Post: 05-21-2009, 02:03 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.