Updated: Tuesday, October 13, 2009

 

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When Hospitals Erroneously Think Home Health Should Pay

 

Dear Hospital Billing Department,

We received a claim for patient’s name and demographic information.  Explain the dates of services etc.

The Medicare Home Health Agency Manual Section 201.12 Coverage of Services states in part “the law governing the Medicare home health PPS requires the HHA to provide all bundled home health services (except DME) either directly or under arrangement while a patient is under a home health plan of care during an open episode”.  It further states “The HHA must provide the covered home health services (except DME) either directly or under arrangement.”  And finally it states “Once the patient is discharged, the HHA is no longer responsible for providing home health services including the bundled Part B medical and therapy services.”

The patient in question did not receive these services as part of a Home Health Plan of Treatment from our agency, nor did our agency provide this treatment either directly or under arrangement.  Therefore, we can not be responsible for these claims or any further claims under the same circumstances.

It is our policy to check with Medicare prior to admitting a patient to home health services for any potential problem with payment.  I suggest that your hospital implement a similar policy.

If you have any questions or comments, or if I can be of further service, please don’t hesitate to contact me at

Sincerely,

Billing Department

 

Enclosures:

 

*Please note that this letter is simply an example of what some home health companies have used to reply to a hospital that is attempting to collect for services rendered by the hospital during an active home health episode and should not be construed in any way as legal advice by HomeHealthRecruiter.com,  Inc.  We are not a firm in the legal industry.