Home Health & Hospice Week
Medicare Springs 4 New Nursing G Codes On HHAs
Learn new PPS billing rules.
The Centers for Medicare & Medicaid Services has issued its marching orders for home health prospective payment system billing under changes that take effect Jan. 1 — and one addition is an unwelcome surprise.
In the new year, G0163 and G0164 will be retired, and replaced with four new G-codes: two for observation and assessment - G0493 (RN) and G0494 (LPN) - and two for training/education - G0495 (RN) and G0496 (LPN).
The National Association for Home Care & Hospice “is concerned with the short notice CMS has given providers to implement the new G codes,” it says. “CMS did not mention in the HHPPS final rule that it planned to require four new G codes related to skilled nursing services.”
See a MLN Matters article on CR 9736, which also reviews new NPWT and outlier billing changes, at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9736.pdf. The PPS rate update CR article is at www.cms.gov/Outreach-and-Education/Medicare-Learning-NetworkMLN/MLNMattersArticles/Downloads/MM9820.pdf.
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