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Billing and Financial

Next Reply: Re:out patient billing
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Post out patient billing
Author: jmmaher
Date: Mar 20, 2008 7:51 pm
Hi everyone. I am a new medical director. Interested in finding out what codes folks are using for 1. hospice house in patient (GIP) and residential 2.nursing home visits (initial and follow up) 3. home visits (initial and follow up) and 4. palliative care visits (initial and follow up). Are you doing the inital visits as a consult? and if so how are you getting the required request for consult. Sorry if you have already hashed this over.

and thanks for the help!
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Re:out patient billing (by AEM on 04/03/2008)
As to #4. palliative care visits in outpatient setting: we receive these patients as a consultation from another physician. Medicare requires documentation that the consultation was requested, as well as documentation back to the physician who requested the consult as to your recommendations or treatment. We use 99241-99245 for these visits (initial). Any visits (outpatient) with the patient after that are billed using 99212-99215. The four r's of consultation are request, reason, render and report. Medicare needs to see documentation of all four in the clinical chart.

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