Home-Based Medical Care: Superbill Worksheet - Itemized CMS Codes - HCCIntelligence™ Premier Resource

Superbill Worksheet 2024

Pdf Summary

This document provides a comprehensive list of primary services that a home-based medical care practice can bill and submit for reimbursement. It includes information such as CPT codes, service descriptors, 2024 wRVU, 2024 Medicare National Fee Schedule Payment, and precalculated 85% of Medicare allowable payment (NP/PA). This information can help programs estimate revenue, create internal fee schedules, and guide the setup of EHR templates and claim submissions. The content of this document was gathered using Centers for Medicare & Medicaid Services (CMS) guidelines, and full details and requirements can be found in the CMS guidelines. <br /><br />The services listed in the document cover a wide range of medical care, including new patient visits, established patient visits, prolonged services, care plan oversight, home health certification and re-certification, chronic care management, caregiver training, transitional care management, cognitive assessment, anticoagulation management, wellness visits, advanced care planning, remote evaluation and assessment, telephone E/M services, remote patient monitoring, collection and interpretation of physiologic data, online digital E/M services, interprofessional telephone/internet/electronic health record assessment and management services, smoking and tobacco cessation counseling, and various procedures such as catheter insertion, cerumen removal, joint injections, biopsies, abscess treatment, debridement, gastrostomy tube changes, spirometry, and venipuncture.<br /><br />The document also provides additional resources available through the HCCIntelligence Resource Center, including hotlines, webinars, and tools and tip sheets for home-based primary care providers and practice staff. It should be noted that the information provided in this document is for educational and informational purposes only and should not be considered medical advice. The accuracy of the information is subject to change from year to year.

Keywords

home-based medical care practice

CPT codes

reimbursement

Medicare National Fee Schedule

care plan oversight

chronic care management

transitional care management

remote patient monitoring

spirometry

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