This blog post is educate the providers how to properly bill for community health workers.
The blog post applies to services provided in Federally Qualified Health Centers (FQHCs).
Proper Billing:
- UB-04 claim form- attending NPI- Type 1- individual sole provider
- Box 80- indicate the services performed- using the 4 digit code- click here to get the list
- Modifier- CG- required for community health workers
- Do not bill CHW services on a separate claim form if other providers performed services on the same DOS
- Do not use G04xx code with CHW services if that is the only were performed
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