Can I provide Home Health or Hospice billing?
Resources for Hospice and Home Health Guideline
Hospice and Home Health billing fall under the jurisdiction of the US Department of Health and Human Services.
You should look at the website for your local Medicare contractor, (Find Yours By Clicking Here), and review their policies for billing these services.
The link below will navigate to the CGS website, where you will find my favorite FAQ with links to Hospice Billing, Home Health Billing, and Hospice Physician Billing guidelines.
Can I bill for Hospice services?
No, because the majority of Hospice billing is done on a UB-04. Unfortunately, iClaim does not support the UB-04 forms.
Hospice providers are paid a per diem rate by Medicare to cover all daily costs of care for their patients. When hospice is elected, no other providers can bill, except under certain circumstances.
Click here for more info.
Can I bill for Home Health services?
No, because the majority of Home Health billing is done on a UB-04. Unfortunately, iClaim does not support the UB-04 forms, nor does it support the OASIS (Outcome and Assessment Information Set, which is officially the data collection tool used by Medicare to ensure standard quality care), or CMS-485.
The Home Health Outcome and Assessment Information Set (OASIS) contains data items developed to measure patient outcomes and for improve home health care. The OASIS assessments are required of all home health agencies certified to accept Medicare and Medicaid payments.
Click here for more info.
The CMS Form 485 has been designed by the US Department of Health and Human Services, Centers for Medicare & Medicaid Services. By filling out Form 485, the physician prescribes relevant health care services covered by Medicare home health benefits.
Click here for more info.
Are there any other options if I really want to do Home Health?
NextGen Enterprise can be an option, but its not a great fit. It really comes down to the clinical workflow, to see if they can accommodate or not. I wouldn’t set the expectation high just because of the unknowns, but you can definitely connect with NextGen Healthcare to find out more.
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