AAPC - Back to school
Results 1 to 2 of 2

Thread: Home Health Plan of Care

  1. #1
    Join Date
    Apr 2007
    Marion, OH

    Cool Home Health Plan of Care

    AAPC: Back to School
    I have a couple questions about home health?

    1. When you bill a home health plan of care oversight (G0180 or G0179) what POS do you use? Do you use 12 for home health or do you use 11 since the actual plan of care oversight is done in the office and the doctor does not actually go to the patient's home?

    2. If the principal diagnosis changes after the patient has entered home health does the doctor need to see the patient for that diagnosis within the 90 days prior/30 days after?

    3. If home health changed the primary diagnosis and did not inform the doctor that the primary diagnosis changed until the next plan of care was due (2 months later) and the doctor did not document the problem when the patient was seen (patient did not advise doctor of the new problem) can we no longer bill for the plan of cares for the remander of home health (we did not document problem within 90 days/30 days)?

  2. #2


    My understanding was you could only bill G0180 ONE time with the date of service being the date the doctor signs the 485 Initial Plan of Care and the place of service being 11. The diagnosis must match what is on the Care Plan for that date. Am I wrong?

    Can anyone help with this?

Similar Threads

  1. Billing for Health Home plan of care
    By ehente in forum Podiatry
    Replies: 0
    Last Post: 10-21-2014, 06:47 PM
  2. Physician certification of home health plan of care
    By debmackin in forum Internal Medicine
    Replies: 2
    Last Post: 02-06-2014, 06:12 AM
  3. Home health /Plan of care.. HELP
    By nicole@ra-stx.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-28-2010, 09:23 AM
  4. home health cert and recert vs care plan oversight
    By pepsilover in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-05-2010, 04:15 PM
  5. Home Health/Care Plan Oversight
    By Frosty in forum Orthopaedics
    Replies: 2
    Last Post: 06-04-2009, 02:28 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.