Medicare Compliance & Reimbursement
NPPs Can Bill For Care Plan Oversight
In the past, Medicare rules on NPPs billing for care plan oversight (G0181) were an unruly tangle. On the one hand, a 1997 law said NPPs could bill for home care oversight as long as they practiced within their states' laws. On the other hand, the Centers for Medicare & Medicaid Services had decreed that only the provider who certified home care services could bill for CPO.
Now, CMS has clarified in the proposed physician fee schedule that NPPs can bill for CPO even if they didn't certify the patient. This means physicians will have access to a "physician extender" who can help make their lives easier.
Medicare Compliance & Reimbursement
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NPPs Can Bill For Care Plan Oversight
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The following bills were introduced in the House: HR 5048. A bill to amend title [...]
