CARE PLAN OVERSIGHT
Care Plan Oversight (CPO) reimbursement allows physicians to bill Medicare for their time overseeing the care of home care patients. The Code for care plan oversight is GO181 for home health.
You may bill for 30 minutes of care plan oversight a month, including medical decision making; review of charts, reports, or treatment plans; review of lab or study results that weren’t ordered during or associated with a face-to-face encounter; phone calls to other health professionals involved in the care of the patient; phoning in prescriptions; and other items on the home care patient’s behalf.
Medicare Codes for Home Health Certification and Recertification
Medicare will also reimburse physicians separately just for signing the 485 (home care treatment plan), even if you do not spend the required minimum of 30-minutes of oversight to bill for CPO.
Separate payment is allowed for the services involved in physician certification/re-certification and development of a plan of care for Medicare covered home health services.
- HCPCS code G0179: is to be used for re-certification after a patient has received services for at least 60 days (or one certification period). HCPCS code G0179 will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode.
- HCPCS code G0180: is to be used when the patient has not received Medicare covered home health services for at least 60 days. The initial certification (HCPCS code G0180) cannot be filed on the same date of service as the supervision service HCPCS codes (G0181).
Download the “Care Plan Oversight Log Sheet” Form below:
- Skilled Nursing
- Physical Therapy
- Speech Theraphy
- Occupational Therapy
- Home Health Aide
- Social Services
- Behavioral Health