Re: Billing Medicare for O and P devices while patient is under Home health episodes or Hopsice

Re: Billing Medicare for O and P devices while patient is under Home health episodes or Hopsice

Tracie Hudspeth

9/10/2013

In response to my last email regarding HHE:


I did take a course online for Hospice and found this information which was very helpful.

I did get responses stating SNF has billable codes but I don't think an HHE is considered in the same category as a SNF. Correct me if I am wrong.

I am appealing this claim since this patient went home directly from being discharged the same day we fit and then from the patients home was receiving Home Health Services so I don't feel this is a legit recoup on Medicare's part. This was an L1832 so would not have been deemed under HHE non billable codes according to the list I have.
Here is the list of codes that are included in HHE. I try to do my homework and I so appreciate all your responses.
I am so glad we have this tool to share each of our experiences and knowledge with each other to get through these challenges that we are all faced with.

Thanks,

Tracie Hudspeth
________________________________
From: Tracie Hudspeth
Sent: Monday, September 09, 2013 3:12 PM
To: <Email Address Redacted>
Subject: Billing Medicare for O and P devices while patient is under Home health episodes or Hopsice

I have a question in regards to patients with Medicare transferred to Home Health Episodes or Hospice care.

What are the rules in billing Medicare while the patient is under HHE or Hospice?

I have found a little information in regards to Hospice where it states no coverage while under Hospice care for Devices but I want to make sure that is the rule.

The other is the HHE. Getting conflicting information in regards to coverage. The patient discharges from hospital to home under the care of the HHE which the hospital is the one that requested the device prior to discharge for home use. I have read that only the HHE will be paid for any services needed while the patient is under HHE care, then I have been told DME is not included in this consolidated billing.

 Can anyone help me clarify the rules while under these stays? If you have the link that would be great.


Thanks,

Tracie



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