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. .