In-home care can be a suitable option for patients, lowering the risk of infection, lessening the likelihood of hospitalizations and promoting activities that improve quality of life.
At Kassy we provide a broad range of specialized programs and services to help patients feel better at home, including but not limited to:
- Lymphedema Management
- LSVT LOUD
- LSVT BIG
- Vestibular Rehabilitation
- Cardio Pulmonary Rehabilitation
- COPD Management Program
- CHF Management Program
- Fall Prevention Program
- Anodyne Therapy
- Occupational Therapy
- Physical Therapy
- Social Services
- Physician Access expedites signatures on orders, reducing the need to fax, call and visit to follow up on paperwork. Eliminate loads of paperwork for your office and staff.
- Physicians can send e-referrals, sign orders and easily track their Care Plan Oversight (CPO) time
- Physician billing for CPO is quick and easy with automatic HCFA 1500 generation
- Collaboration with participating physicians is simplified
- Your billing department will save time by automatically filing home health insurance claims for certification and Care Plan Oversight (CPO)
Medicare reimburses physicians for qualified time spent overseeing the care of patients receiving home health or hospice services.
Care Plan Oversight exists because CMS recognizes the importance of on-going physician engagement in patient care. And CPO can add up quickly: if a physician is providing CPO for ten home health patients a month, it adds up to $12,748 per year (based on 2014 national average).
- Have you performed the following services for your home health or hospice patients?
- Reviewed charts, reports, treatment plans, or lab and study results outside the initial patient review?
- Communicated with other health care professionals involved in the patient’s care?
- Had discussions with a pharmacist about a patient’s pharmacological needs?
- Coordinated services that required your skills as a physician?
If you answered yes to any of these then you may have been providing CPO, and you may be eligible for Medicare reimbursement.
HCPCS code G0179: is to be used for re-certification after a patient has received services for at least 60 days (or one certification period). HCPCS code G0179 will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode.
HCPCS code G0180: is to be used when the patient has not received Medicare covered home health services for at least 60 days. The initial certification (HCPCS code G0180) cannot be filed on the same date of service as the supervision service HCPCS codes (G0181).
The new Physician Fee Schedule includes transition care management (TCM) codes that allow for reimbursement of the non-face-to-face care provided when patients transition from an acute care setting back into the community.
Two new codes will be used to pay for all services that up until now were done but not reimbursed.
- CPT Code 99495 covers communication with the patient or caregiver within two business days of discharge. This can be done by phone, e-mail, or in person. It involves medical decision making of at least moderate complexity and a face-to-face visit within 14 days of discharge.
- CPT Code 99496 covers communication with the patient or caregiver within two business days of discharge. This can be done by phone, e-mail, or in person. It involves medical decision making of high complexity and a face-to-face visit within seven days of discharge.
Although the Centers for Medicare and Medicaid Services may fine-tune the expectations for the services provided during the TCM time period, in addition to the above, the following required non-face-to-face services differ for staff and for the physician.
Call us today for more information on Transitional Care Management and how KASSY can assist your Practice!