The Record - for physicians and other health care providers to share with their office staffs
Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
March 2013

Reminder for home health care to bill visits, not hours

Please remember, home health care agencies should bill BCBSM for services by using the number of visits (not hours or increments of hours) as a unit of service. When billing on a UB-04 claim, section 46 requests units, and one unit of service equals one visit.

In the rare instances where an initial home health assessment is done on the same day as a skilled nursing visit, BCBSM’s audit area will look for two separate sets of documents that can substantiate the medical necessity for both visits.

Please keep in mind that when billing for an initial home health assessment visit, that is the only service that can be billed during that visit.

For more information about billing, see your provider manual on web-DENIS.
No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.