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Documentation for House Calls: Avoiding Negative Audit Outcomes
House call visits remain a focus for the Office of Inspector General and Centers for Medicare & Medicaid Services because they have observed a tremendous increase in the number of visits that have been billed over the last five-to-ten years. These visits tend to be coded higher than the average office visit due to the frail nature of the patients being served. As a result of being at the high-end of the billing bell-curve, house call practices tend to have a high likelihood of being audited.
In this course, you will learn how to create documentation that will result in positive audit outcomes and avoid denial issues; thus, enabling you to keep your revenue cycles on target. Upon completion of this course, you will be able to do the following:
  1. Explain "medical necessity" as defined by the Centers for Medicare & Medicaid Services.
  2. Describe the required documentation components for house call visits and avoid common documentation mistakes.
  3. Apply billing and coding best practices to avoid red flags that send negative messages to auditors.
Estimated Time to Complete
30 minutes
In order to earn credit for participation in this activity, the learner must complete a 5-question post-test with a passing score of 80% or better with unlimited attempts.
Intended Audience
This course is intended for anyone involved in the documentation, coding, and billing of home-based primary care (HBPC) services. This includes providers who need to ensure their documentation is complete and appropriately displays medical necessity, administrative staff who need to support the process, and coders and billers who need to clearly articulate to providers what they are looking for when assigning codes to documentation.
Credit Information
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Availability: On-Demand
Cost: $49.00
Credit Offered: 0.5 CME Credit
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