Home-Based Medical Care: Telehealth Guidelines & Coding Requirements - 2024
A comprehensive resource designed to provide guidance to home-based medical care programs in the use of telehealth services to care for their patients with the expansion of reimbursement opportunities post-pandemic. All content reflects 2024 updates and was gathered utilizing Centers for Medicare & Medicaid Services (CMS) guidelines.
Home-Based Medical Care: Superbill Worksheet - 2024
A comprehensive list of the primary services that a home-based medical care practice would bill and submit for reimbursement. Includes CPT® codes, location of service (if applicable), service descriptor, 2024 wRVU, 2024 Medicare National Fee Schedule Payment, and precalculated 85% of Medicare allowable payment (NP/PA). This information allows programs to estimate revenue, create an internal
Home Based Medical Care Advanced Coding Opportunities - 2024
A comprehensive resource to assist home-based medical care providers and practice staff with understanding the advanced coding opportunities beyond Evaluation and Management (E/M) Current Procedural Terminology (CPT®) codes that are available billing and reimbursement based on the high level of complexity of patient needs. These 2024 CPT codes align with the care provided and allow
Home-Based Medical Care Evaluation and Management (E/M) Guidelines - 2024
This resource is intended to serve as a reference for home-based providers that review the Evaluation and Management (E/M) documentation & coding guidelines on the criteria needed to support billing for the different levels of service for the home visit CPT range (CPT 99341-99350). Refer to CMS guidelines1 for full details and requirements.
Risk Adjustment Factors (RAF) for House Calls: Hierarchical Condition Categories (HCC) Coding Guide - 2024
Hierarchical Condition Category (HCC) Coding is the risk adjustment methodology used by the Centers for Medicare and Medicaid Services (CMS) and other programs to determine the annual capitated payments for Medicare Advantage beneficiaries and to determine expected costs in Medicare Shared Savings Programs (ACOs) and newer Alternative Payment Models (APMs). Capturing HCC scores for your
Remote Patient Monitoring - 2024
This resource is designed to guide house call programs in the use of remote patient monitoring services to care for their patients following the expansion and highlighted need for telemedicine as a result of the COVID-19 pandemic.
The Most Important Billing Codes You May Not Be Using
Review this HCCIntelligence™ Webinar Recording from June 2019.
What You Should Know About 2020 Coding Updates
Review this HCCIntelligence™ Webinar Recording from February 2020.
Unlocking Revenue Streams: Navigating the 2024 Medicare Physician Fee Schedule for Home-Based Medical Care
Review this HCCIntelligence™ Webinar Recording from January 2024.
COVID-19 Updates: Advance Care Planning, Self-Care/Team-Care and Centers for Medicare & Medicaid Services Telehealth Changes
Review this HCCIntelligence™ Webinar Recording from May 2020.
2023 Here We Come! Billing & Coding Impacts You Need To Know
Review this HCCIntelligence™ Webinar Recording from February 2023.
2022 Coding & Policy Impacts
Review this HCCIntelligence™ Webinar Recording from December 2021.
2021 Coding: Impacts for Home-Based Providers and Practices
Review this HCCIntelligence™ Webinar Recording from January 2021.