Avoid denials: Follow these guidelines for billing Home Health claims and HIPPS reporting requirements

​As we have fully transitioned to our next generation platform, we want to remind participating Home Health providers of the AmeriHealth requirement to include the proper Health Insurance Prospective Payment System (HIPPS) code with the Home Health revenue code 0023 on all claims.

Failure to include the appropriate HIPPS codes will cause your claims to be denied.

HIPPS codes are 5-digit alphanumeric composite codes that identify the clinical characteristics of the patient and include information regarding a patient's comorbidities as well as identifying the source of the referral for home health care.​​

Billing reminder

Submitting the site of services codes Q5001, Q5002, and Q5009 is not a reporting requirement for AmeriHealth participating Home Health providers.

Submitting codes Q5001, Q5002, and Q5009 with a contracted Home Health revenue code may result in overpayments and an increase in provider audits and recoveries.

Learn more about billing for Home Health services in the Billing & Reimbursement for Ancillary Services section of the Hospital Manual.

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