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Change to Requirements for Billing Physician Home Visits

Posted on Monday, June 3, 2019 1:16 AM

CMS recently released Transmittal 439/Change Request (CR) 11273, Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with Superficial Radiation Treatment.

The new transmittal updates the Medicare Claims Processing Manual, Pub. 100-04, Chapter 12, Section 30.6.14.1 – Home Services to reflect the elimination of the requirement that a medical record document is necessary to demonstrate the medical necessity of the physician home visit made in lieu of an office or outpatient visit. This is applicable for codes 99341-99350. These codes may sometimes be used by hospices or palliative care providers for billing physician services.

Source: NAHC Report


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