Medicare Reimbursement for Overseeing Home Care or Hospice Patients
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Care Plan Oversight (CPO) reimbursement allows physicians to bill Medicare for their time overseing the care of home care or hospice patients.
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Medicare Codes for Care Plan Oversight
Medicare Codes for Home Health Certification and Recertification
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Medicare Codes for Care Plan Oversight
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Codes for care plan oversight are: GO181 for home health, and GO82 for hospice.
You may bill for 30 minutes of care plan oversight a month, including medical decision making; review of charts, reports, or treatment plans; review of lab or study results that weren't ordered during or associated with a face-to-face encounter; phone calls to other health professionals involved in the care of the patient; phoning in prescriptions; and other items on the home care or hospice patient's behalf.
Here are sample log forms that can help you keep track of the time spent on CPO for each patient:
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Home Health Care CPO Worksheet/Log
Hospice CPO Worksheet/Log
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Medicare Codes for Home Health Certification and Recertification
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Medicare will also reimburse physicians separately just for signing the 485 (home care treatment plan), even if you do not spend the required minimum of 30-minutes of oversight to bill for CPO.
The code for certification of home care treatement plans is GO180. The code for recertification is GO179. This appplies to home care only, not hospice.
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