Good Afternoon MFS Bloggers, Please find below recent CMS postings regarding muliple modaliuty billing.
During a home health visit, nurses and therapists many times provide more than one service. Do we report multiple G-codes for all the services that were provided during the visit?
Answer:
In the course of a visit, a nurse or qualified therapist could likely provide more than one of the nursing or therapy services reflected in the new and revised codes. Home health agencies (HHAs) must not report more than one G-code for the nursing visit regardless of the variety of nursing services provided during the visit. Similarly, the HHA must not report more than one G-code for the therapy visit, regardless of the variety of therapy services provided during the visit. In cases where more than one nursing or therapy service is provided in a visit, the HHA should report the G-code which reflects the service for which most of the time was spent during that visit.
Note: Documentation should include details of all the services provided during the visit.
Is it true that if a home health agency (HHA) provides a therapy service and a nursing service on the same day for the same patient that the HHA can only bill one G-code for that day?Answer:
No. Change Request 7182 does not change the reporting requirements for HHAs. Claims must report all home health services provided to the beneficiary within the episode. Each service must be reported in line item detail. A separate G-code for therapy and a separate G-code for nursing for the same patient on the same day is acceptable.
Have a great afternoon, CP
