CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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Certification for Home Health Services

  • There are two HCPCS codes for certification and re-certification of Medicare covered home health services
  • The CARES Act of March 2020 allows nurse practitioners (NPs), clinical nurse specialists (CNSs) and physician assistants (PAs) to certify home health services, previously only a physician could perform the service
  • This is work that practitioners are already doing, and they can be reimbursed for the work

The payment isn’t for signing the certification. The payment is for monitoring the plan of care and contacts with the home health agency for a patient who is receiving Medicare-covered home health services.

The clinician creates and reviews the plan, verifies it is being implemented and reviews the data sent by the agency. Although the payment is small, it represents work done by clinicians.

Watch Can I get paid for signing the home health certification form for a quick summary.

G0180   Physician Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (Patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians To Affirm The Initial Implementation Of The Plan Of Care That Meets Patient’s Needs, Per Certification Period

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Last revised January 28, 2021 - Betsy Nicoletti
Tags: care management

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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