Home Health & Hospice Week

Help your referring physicians obtain the reimbursement they are entitled to for care planning for your patients, with a little assist from HHH MAC Palmetto GBA. Palmetto provides a quick overview of the service, billing instructions and tips on its website.

Tip #1: For dates of service for HCPCS codes G0181 and G0182, “submit the first and last date during which documented care planning services were actually provided during the calendar month,” Palmetto instructs. “Do not submit the first and last calendar date of the month unless services were provided on those dates.”

Tip #2: Palmetto will deny CPO claims “when review of the beneficiary claims history fails to identify a covered physician service requiring a face-to-face encounter by the same physician during the six months preceding the provision of the first care plan oversight service.”

Tip #3: “The requirement to include the HHA or Hospice provider number on a care plan oversight claim for HCPCS codes G0181 and G0182 is waived until further notice, and as a result, claims submitted with the number will be rejected,” Palmetto says.

To read more tips and directions, go to www.palmettogba/medicare, click on “J11 MAC Home Health and Hospice” in the left hand column, select “Home Health” from the “Face-to-Face” tab in the left-hand column, and choose the March 26 article on CPO from the list.