Posted in Updates

Billing for Multiple Home Health Visits -UHC update, September 2020

According to UHC, in order to prevent payment issues for multiple skilled nursing visits on the same day, providers need to bill in the following manner:

a. Bill each visit on its own line

b. Bill each visit with its RVU and  HCPCS/CPT codes

c. The subsequent visits should be billed with a qualifying modifier (ex. XE)

Adding the appropriate modifier will ensure that the additional visit will be identified and processed for payment correctly, at expected rate.

For more information, please click here, for UHC Medicare Advantage Guidelines/Definitions. .

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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