House call practices
Medical billing for house call physicians
Home visits have their own codes and documentation rules, and so do home health certification and hospice oversight. The paperwork you need is often at an agency, waiting on a signature.
It's free, and you can keep your current biller
What makes house call billing harder
- Place of service detailsHome and residence visits share one code family, so the place of service code has to match where you saw the patient.
- Certification and recertificationHome health certification work has its own codes and its own timing and documentation rules, and a late signature can hold the whole thing up.
- Oversight time adds upCare plan oversight depends on time tracked in each calendar month. If the physician reviews labs from the car and doesn't log it, that time is gone when the month closes.
- Coordination with agenciesA signed order sitting on someone's desk at the agency can hold up billing, unless someone's tracking it.
Common house call billing checks
- Home and residence visits9934299350 Patient status and level must match the documentation.
- Home health certificationG0180G0179 Certification and recertification have timing rules.
- Care plan oversightG0181G0182 Time is recorded within the calendar month.
- Telehealth visitsPOS 02POS 10 Medicare professional claims use these place of service codes. Modifier rules vary by payer and year.
These codes are examples. Rules change by year and payer, so we check current guidance.
Where to start
- Care management billingWe check prerequisites first, then support the billing for CCM, CPO, RPM and PCM.
- Medical billingWe prepare, check, submit and follow up on claims within your agreed scope.
- Coding supportWe check CPT and ICD-10 codes against the note and take questions to the provider.
- Denial managementDenied claims worked by cause and deadline, and tracked to an outcome.
Further reading: the basics of billing CCM and CPO and how to work aged A/R and which claims to start with.
Questions
Questions about house call billing
Do you understand G0181 and G0182?
Yes. Care plan oversight is one of the recurring programs we support. We check the recorded time and requirements before a claim goes out, and your providers stay responsible for the work and the documentation.
Can you work with our paper heavy processes?
Yes, though we'd want to see how they work first. Tell us how orders and signatures move through your practice today, and the audit will show where they get stuck.
Do you work with home health agencies directly?
No, we bill for physician practices. If your agency billing is separate, we'll define how the two connect.
Find out what your house call claims are leaving behind
Send us your denial and A/R reports and you'll have a written report within 48 hours, for free. You can keep your current biller while you decide.
