Home Health & Hospice Week

Reader Question:

Keep Physician Communication Open To Avoid Getting Stuck With The Bill

Make sure the ordering doc is on board with your care plan early on, experts advise.Question: We have run into a unique situation for us. A client's family member called and asked for home health for their elderly loved one who had just seen the physician and was diagnosed with an upper respiratory infection and placed on new medication. During discussion with family member they also reported frequent falls. This client lives in a rural setting. We contacted the physician via fax about client being evaluated for home health and received the fax back with his handwritten "OK." Care initiated and agency saw client for one episode with positive impact noted. The physician is now refusing to sign the 485 and face-to-face documentation. Initially he said via his nurse that he did not authorize home health, but when we showed him documentation that he did OK home health, he just [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All