Home Health & Hospice Week

Don’t miss an important requirement when you start using telehealth G codes.

Reminder: Home health agencies may start using G0320, G0321 and G0322 for care provided Jan. 1 and later. On July 1, reporting the codes becomes mandatory.

“The HHA must document the medical record to show how the telecommunications technology helps to achieve the goals outlined on the plan of care,” instructs HHH Medicare Administrative Contractor CGS in an article about the codes posted Dec. 29. “And the plan of care must describe how such technology is tied to the patient-specific needs in the comprehensive assessment,” the MAC tells providers.

Plus: “These new HCPCS codes are not considered a home visit for the purposes of: Patient eligibility or payment …; Outlier unit amounts sent to the HH Pricer; Calculating Low Utilization Payment Adjustment (LUPA) add-on payments; [and] Ensuring covered skilled visit requirements are met,” CGS points out.

More info is at https://cgsmedicare.com/hhh/pubs/news/2022/12/cope133197.html.