Presentation is loading. Please wait.

Presentation is loading. Please wait.

New Medicare Codes OUTPATIENT Billing Code Location of Care Definition

Similar presentations


Presentation on theme: "New Medicare Codes OUTPATIENT Billing Code Location of Care Definition"— Presentation transcript:

1 New Medicare Codes OUTPATIENT Billing Code Location of Care Definition
Reimbursement F2F Prolonged Service Outpatient 99354 IL, ALF, MC Prolonged Services with Direct Patient Contact - when a clinician provides services beyond the usual service in the outpatient setting. Documentation must show additional time (b/t min) was above and beyond time spent performing the E/M service. 138.67 F2F Prolonged Service Outpatient 99355 Same as above but for additional time. Documentation must show additional time (b/t min) was above and beyond time spent performing the E/M service. 104.54

2 New Medicare Codes INPATIENT Billing Code Location of Care Definition
Reimbursement F2F Prolonged Service Inpatient 99356 LTC, SNF, Hospital Prolonged Services with Direct Patient Contact - when a clinician provides services beyond the usual service in the inpatient setting. Documentation must show additional time (b/t min) was above and beyond time spent performing the E/M service. 98.35 F2F Prolonged Service Inpatient 99357 Same as above but for additional time. Documentation must show additional time (b/t min) was above and beyond time spent performing the E/M service.

3 WITHOUT DIRECT PATIENT CONTACT
New Medicare Codes WITHOUT DIRECT PATIENT CONTACT Billing Code Location of Care Definition Reimbursement Non F2F Prolonged Service 99358 ALL Prolonged Services without Direct Patient Contact - Documentation must show additional time (b/t min) was above and beyond time spent performing the E/M service. 119.56 Non F2F Prolonged Service 99359 Prolonged Services without Direct Patient Contact - Documentation must show additional time (b/t min - bill both ) was above and beyond time spent performing the E/M service. 57.52

4 Dementia Care Plan Code: G0505
New Medicare Codes Dementia Care Plan Code: G0505 Multidimensional assessment that includes cognition, function, and safety; evaluation of neuropsychiatric and behavioral symptoms; review and reconciliation of medications; and assessment of the needs of the patient’s caregiver. Informational Guide Website:


Download ppt "New Medicare Codes OUTPATIENT Billing Code Location of Care Definition"

Similar presentations


Ads by Google