How do you bill for ESRD services for at home dialysis patients that die within the month? Are there any other common billing problems with the new ESRD codes?
The new HCPCS codes G0320-G0323 are for home dialysis patients. These codes are defined “per full month.” When a patient expires, do not span the dates of the service you are billing past the beneficiary’s date of death. Also, we have noted an error when providers try to bill for monthly capitation using “30” for the number of service. This should be reported as only “1” number of service. Also, when home dialysis patients are hospitalized sometime during the month, daily management ( HCPCS codes G0324-G0327) must be reported for the days the patient is not in the hospital; and monthly management should not be billed. Furthermore, the number of services billed for the daily code should equal the number of days the patient is not in the hospital, and the dates of service for these must not coincide with the hospital dates.
Related Questions
- How do you bill for ESRD services for at home dialysis patients that die within the month? Are there any other common billing problems with the new ESRD codes?
- What other services are available for patients who are receiving services at Montefiore Home Care?
- Is there back-up for patients whose dialysis at home is compromised due to short term problems?
