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While She Was in the Hospital

Bill It Right · Episode 4

While She Was in the Hospital

Visits were billed for days a client spent in the hospital.

In this scene

Priya: Mrs. Lee was in the hospital from the third to the eighth. We have visits billed those days.

Kevin: The schedule kept running. Nobody stopped it.

Priya: In most programs, home care can't be billed while someone is in the hospital. Those claims come back out.

Watch the episode to see what happens next.

Questions to think about

  • A client is in the hospital. Their home visits:
  • Claims were already sent for hospital days. You:
  • Who else should know about the admission?

About this series

For billing staff and agency owners: authorizations, real units, documentation, hospital stays, upcoding, overlaps, duplicates, denials, overpayments and self-audits.

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