Is there an official Medicare position on billing physician home/domiciliary care visits at Adult Day Care centers?
To our knowledge, no, you cannot bill for services to an Adult Day Care setting, as it is neither an office nor a home. • Is it OK to exchange information about the fees I charge with other physicians? Physicians should be very cautious about sharing information with one another concerning the fees they charge for physician services. According to the antitrust laws, exchanges of price and cost information among competing health care providers may have an anticompetitive effect that outweighs any pro-competitive justification for the exchange. In particular, exchanges of future prices for provider services are very likely to be considered anticompetitive. • If I’m an opt-out provider, can I bill a code for after hours care using the ABN? All of the codes below are “B” rated codes, meaning they are bundled into the relevant E/M code: 99050 after hours care 99051 weekend care 99056 out of office services 99060 out of office emergency care • Where are the code types (A, B, C, N, etc.) post
