Reimbursement:
Use These 5 Tips For M&E Success
Published on Wed Nov 04, 2009
Make sure docs see why it's worthwhile to fulfill the new requirement. Medicare's crackdown on management and evaluation services for home care patients isn't a very nice holiday present, but you don't have to let it torpedo claims for your patients who require the services. Starting in January, the Centers for Medicare & Medicaid Services will require a new physician narrative of clinical justification for patients requiring M&E as their only skilled service (see Eli's HCW, Vol. XVIII. No. 41, p. 314). The new mandate may make M&E billing harder, but you can prevail if you know the ropes. Follow these expert tips to comply with the new rule and secure your rightful reimbursement: 1. Know when E&M is allowable. Home health agencies must look at the new language CMS finalized in the home health prospective payment system 2010 update: "management and evaluation of a patient care plan is considered [...]
