• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki established ALF visits pay more than new?

Create Wiki
C

CatchTheWind

Guest
Messages
648
Location
Boca Raton, FL
Best answers
0
We have just discovered that Medicare pays more for 99335 (established, level 2, assisted living visit) than for 99225 (new, level 2, assisted living visit). Ditto for 99234 (established level 3) than 99225 (new level 3). It is only on the level 4 visits (99226, 99236) that the payment is more for new patients. The requirements are the same for new and established (except, as with office E/M, the new visits require all three components, whereas the established require just two).

Does anyone know why this is?
 
You must log in or register to reply here.
Top