Mich. Admin. Code R. 418.10909 - Billing for home health services
Rule 909.
(1)
Services provided by a home health agency are considered ancillary services
requiring a written prescription by a licensed practitioner certifying medical
necessity. A copy of the prescription shall be attached to the bill.
(2) A home health agency shall submit charges
to the workers' compensation carrier using the UB-04 claim form.
(3) A home health agency shall use procedure
codes from the HCPCS Level II codebook, as adopted by reference in
R 418.10107 to identify services
provided.
(4) A home health agency
shall not bill for the services of a social worker unless the certified social
worker is providing medically necessary therapeutic counseling.
(5) A home health agency may bill supplies
with 99070, the unlisted CPT code for miscellaneous supplies, or the
appropriate supply code from the HCPCS Level II codebook as adopted by
reference in
R 418.10107.
(6) When a procedure code is described by the
HCPCS Level II codebook as per diem, the "by report" service is reimbursed per
visit. When the HCPCS Level II codebook describes a service as time-based the
service is "by report," and the procedure is reimbursed according to the time
provided.
Notes
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