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Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

House Call Billing

I work for a FQHC Family Practice clinic. We would like to incorporate a day of House Calls for pts. that cannot come into the clinic due to transportation issues. (We live in a very rural area). As these visits do not meet Medical Necessity, is it ok to bill these visits with a regular E&M code instead of the Home Visit codes? Also as these visits would fall under our "clinic visit umbrella" could we bill under POS 11 instead of 12, or would this cross the line into fraudulent billing? Thanks!

Medical Billing and Coding Forum