Billing Improvement for Multiple Home Health Visits

Now, for UnitedHealthcare plans, the general reimbursement guidelines for billing multiple skilled nursing visits that are performed on the same day are as follows:

  • Bill each visit on its own line with one unit
  • Bill each visit with the respective revenue and HCPCS/CPT® codes
  • Subsequent visits are to be billed with a qualifying modifier (for example, XE)

This change is to help prevent payment issues with multiple home care visits on the same date of service.  The addition of an appropriate modifier will identify the additional visit so the claim can be processed correctly for payment at the expected rate.

Questions? Please contact Provider Services or visit Medicare Advantage Home Health Services – Frequently Asked Questions.

CPT® is a registered trademark of the American Medical Association.