Home Health & Hospice Week

Industry Notes:

Home Infusion Therapy Billing Will Work Differently Next Year — Prepare Now

Time is running out enroll to become a HIT provider under the new benefit that begins Jan. 1.

“If you are a home health agency (HHA) that wants to provide and bill Medicare Home Infusion Therapy (HIT) professional services starting in calendar year (CY) 2021, you are required to enroll with the Part B Medicare Administrative Contractor (A/B MAC) in your state,” MAC Palmetto GBA says in a new post to its website. “HHAs will no longer be able to bill professional HIT services on standard 837/CMS-1450 (UB-04) institutional claims form with their professional home health services.”

This is a change to how the transitional infusion therapy benefit has worked this year, Palmetto GBA says. Starting in January, “HHAs that enroll as qualified HIT suppliers will need to continue submitting a standard 837/CMS-1450 institutional claims form for the professional home health services to the A/B MAC (HHH) and a separate 837P/ CMS-1500 professional and supplier claims form for the professional HIT services to the A/B MAC,” Palmetto stresses.

More HIT billing details are at www.cms.gov/files/document/mm11880.pdf.

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