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The Higher Code

Bill It Right · Episode 5

The Higher Code

The owner suggests billing a higher-paying service.

In this scene

Joseph: Our aides help with bathing sometimes. Why not bill all their visits as personal care? It pays more.

Priya: We bill the service that was actually provided and authorized. Homemaker visits stay homemaker visits.

Joseph: Even if it's close?

Watch the episode to see what happens next.

Questions to think about

  • A homemaker visit included some help with bathing. You bill:
  • Billing a higher-paying code than the care given is:
  • If someone needs more care:

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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