2023 Trends in Home Health Billing
2023 is shaping up to be a year of change for home health billing and home health coding. This means revenue cycle leaders will see clear benefits from familiarizing themselves with these changes and working to get in front of the shifts that are influencing the home health billing and coding space.
Physician Billing Services Are Experiencing State-Level Disruption
Billing Instructions For Home Or Residence Services
Starting with claims for services on January 1, 2023, the 2 E/M visit families titled “Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services” and “Home Services” are now 1 E/M code family. The new family is titled “Home or Residence Services.” Use the codes in this family to report E/M services you provide to a patient in:
CLIA New Waived Laboratory Tests
Clinical Laboratory Improvement Amendments (CLIA) regulations require a facility to be appropriately certified for each test they do. CMS edits laboratory claims at the CLIA certificate level to make sure that Medicare and Medicaid only pay for laboratory tests in a facility with a valid, current CLIA certificate.