Foundations of Coding and Billing for House Calls

$75.00

Course Overview

House call practices remain a focus for the Office of Inspector General and Centers for Medicare & Medicaid Services because home visits tend to be coded higher than the average office visit due to the frail nature of the patients being served. As a result of being at the high-end of the billing bell-curve, house call practices tend to have a high likelihood of being audited.

In this course, you will learn how to appropriately document your home visits and achieve positive audit outcomes and avoid denial issues.

Learning Objectives

Upon completion, you will be able to:

Explain “medical necessity” as defined by the Centers for Medicare & Medicaid Services.
Describe the required documentation components for house call visits and avoid common documentation mistakes.
Apply billing and coding best practices to avoid red flags that send negative messages to auditors.

Audience

This online course is intended for home-based primary care providers, as well as coders, practice managers, and operations staff.

Estimated Time to Complete

30 minutes.

In order to earn credit for participation in this activity, the learner must complete a
5-question post-test with a passing score of 80% or better with unlimited attempts.

Other Information

Credit Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved: February 20, 2024

Expiration: February 20, 2027

The following organizations accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™:

Physician Assistants: American Academy of Physician Assistants (AAPA)
Nurse Practitioners: American Academy of Nurse Practitioners Certification Program (AANPCP)
Nurses: American Nurses Credentialing Center (ANCC)
Practice Managers: Medical Group Management Association (MGMA)

Disclosures

None of the planners, authors, or reviewers for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Acknowledgement

The Home Centered Care Institute gratefully acknowledges support for this activity in the form of a grant from The John A. Hartford Foundation.