31. Billing Medicare-Covered Therapies and the HIT Benefit

NHIA Roundtables (4 - 25 Minute Rotations)

Revenue Cycle

31. Billing Medicare-Covered Therapies and the HIT Benefit

In this session, we will discuss the services that are covered under Medicare Part B. This includes some nuances such as subcutaneous IG is covered under 1 LCD and IVIG is covered under another. We will also review what is covered under the HIT benefit and which providers can bill for these services. It is important that you become familiar with the coverage criteria and details as Medicare advantage plans are slowly moving to the same billing methodology.

Learning Objectives

Understand which home infusion therapies are covered under Part B.

To understand the requirements and value of the HIT benefit and payable when an RN is in the home. This benefit is billed to the A/B MAC and requires separate accreditation.

Review potential changes in 2026 to Part C plans (Medicare replacement plans) based on directives from CMS.

Speaker(s)

Jeanne Lugli FNHIA Sr. Director, RCM
Brightree

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Jeanne Lugli FNHIA
Sr. Director, RCM
Brightree

NHIA Roundtables (4 - 25 Minute Rotations)