Ensuring Compliance and Revenue Growth through Specialized Ophthalmology Billing!
Streamline your billing process get paid accurately and on time with our reliable home health care medical billing services.
Ensuring Compliance and Revenue Growth through Specialized Ophthalmology Billing.
Are you tired of dealing with the complexities of medical billing for your ophthalmology practice? Look no further! Our professional team specializes in providing comprehensive medical billing services tailored specifically for ophthalmology practices. With our expertise and industry knowledge, we can streamline your billing processes, maximize revenue, and ensure compliance with ever-changing regulations.
Opthalmology Medical Billing Services:
- Registration of patients.
- Insurance verification and patient eligibility check.
- Patient encounter.
- Prepare Medical Claims.
- Medical Coding Compliance.
- Claim Scrubbing and Submission.
- Payer Adjudication.
- Patient Statements.
- Follow ups.
- Payment Postings.
- Reporting and Insights.
- Accounts receivable management
- Denial management and appeals
Home Health Billing vs Hospice Billing
Home health care billing and hospice billing are both important aspects of healthcare billing, but they differ in several ways. Here are some key differences between home health care billing and hospice billing:
Services offered: Home health care billing typically covers services such as skilled nursing, physical therapy, occupational therapy, speech therapy, and medical social work, among others. Hospice billing, on the other hand, covers end-of-life care, palliative care, and support services for patients and their families.
Length of care: Home health care services can last for several weeks or months, depending on the patient’s needs. Hospice care, however, is designed to provide care for patients who have a limited life expectancy, usually six months or less.
Medicare coverage: Both home health care and hospice care are covered by Medicare, but there are some differences in the coverage criteria. For home health care, the patient must be homebound and require skilled care, whereas for hospice care, the patient must have a terminal illness and a life expectancy of six months or less.
Billing codes: Home health care billing and hospice billing also use different billing codes. Home health care billing uses codes such as Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes, whereas hospice billing uses codes such as the Hospice Medicare Benefit Codes.
Reimbursement rates: The reimbursement rates for home health care and hospice care also differ. Home health care services are typically reimbursed at a higher rate than hospice care services.
While both home health care billing and hospice billing are important aspects of healthcare billing, they differ in terms of the services offered, length of care, Medicare coverage, billing codes, and reimbursement rates.
Guide to CPT & HCPCS Codes
CPT Code: 99500-99600 – Home Visit Services
CPT Code 99501: A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.
CPT Code 99502: A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.
CPT Code 99503: A licensed respiratory therapist or other nonphysician provider provides respiratory therapy in the patient’s home.
CPT Code 99505: The provider makes a home visit to a patient with a stoma, an artificial opening in the abdomen for the passage of stool or urine.
CPT Code 99511: The provider visits a patient at home to manage treatment for and remove the patient’s fecal impaction.
CPT Code 99512: The provider visits the patient at home to provide hemodialysis, which removes waste from the blood in a patient with kidney failure.
CPT Code 99600: Use this CPT code to report a home visit service or procedure that does not have a specific code.
CPT Code: 99601-99602 – Home Infusion Procedures and Services
CPT Code 99601: The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.
CPT Code 99602: The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.
HCPCS Codes for Home Health Services:
The HCPCS codes range Home Health Services is T1019-T1022. It is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.
T1019-T1022 Home Health Services
T1019: Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, ICF/MR, or IMD, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
T1020: Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, ICF/MR, or IMD, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
T1021: Home health aide or certified nurse assistant, per visit
T1022: Contracted home health agency services, all services provided under contract, per day
Other HCPCS codes for Home Health:
S9122: HCPCS Code for Home health aide or certified nurse assistant, providing care in the home; per hour
Home Health Care Billing Guidelines
FREE 30-day trial
Outsourcing your Medical Billing to EVEREST can save you up to 40% on your operational costs.
Easy on-boarding, no setup fee, non-binding contract
Frustrated with decreased revenue, staffing issues, and technology costs?
At Everest A/R Management, we offer a full range of medical billing and coding services. We understand that all medical offices and practices are not the same. We work with our clients to design a customized solution that not only meets your needs, but exceeds them. We optimize customer service and efficiency to build a seamless process. Let us focus on the billing, A/R, and administrative challenges while you focus on patient care and clinical quality.
Our clients are at the heart of our organization. Extraordinary services for extraordinary clients.
Specialty Billing Services Florida
Our medical billing services in Florida can help you increase your revenue by reducing the number of denied and unpaid claims. Our billers in major cities like Gainesville, Jacksonville, Miami, Tampa, St. Petersburg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice.
Get great news and insights from our expert team.
Welcome to our deep dive into the world of physical therapy as we venture into the year 2024. Over the years, physical […]
In the intricate world of healthcare finance, revenue cycle management serves as the backbone of financial stability for providers. At its core […]
In the intricate world of medical billing, the accurate assignment of codes is paramount. Among the various coding systems, HCPCS (Healthcare Common […]