How are certification/re-certification and CPO billed?
Physicians must use Form HCFA-1500. The claim must include the six-digit Medicare provider number of the home health agency in block 23 of the form. • What type of documentation is required for billing CPO? The documentation of work, such as discussing the patient’s care with the home health agency or other health care professionals, arranging for services, reviewing records or lab data, revising the plan of care, completing forms and documenting supervision, should be maintained in the record. The services furnished, the dates, and length of time for each service should be included in the record. • I’ve read about Care Plan Oversight codes 99339-99340. Can I use them? These codes can be used, but Medicare will not reimburse for them. • Where can I obtain information regarding non-physician practitioner (NPP) payment for Care Plan Oversight? Please see our “Public Policy” page for the final CMS ruling on NPP signings. Previously, only the physician of record as signing the 485 could be
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