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September 2017

Reminder: Use correct home health care services billing units

To ensure claims are processed correctly, home health care agencies should bill Blue Cross Blue Shield of Michigan for services using the number of visits, rather than hours or increments of hours, as a unit of service. Also, when billing on a UB-04 claim section, keep in mind that 46 request units and one unit of service equal one visit.

For more information about billing, see the 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 2016 American Medical Association. All rights reserved.