Hello All, does anyone have any insight into reimbursement for in home allergen assessment testing? Specifically for DIY kits Allergen Test Kits or those that could be adminstered by a Community Health Worker while visiting a patients home?
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Our Newest Program: Kentucky Asthma Management Program
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Risk stratification is
Risk stratification is critical to be able to show ROI. For example, in Maryland, quoted funding per person was $1,500-$2,500. At this investment level, payback for reduced ED visits and admissions only works for high need patients (like multiple ED visits).
Thanks for the suggestion. I
Thanks for the suggestion. I haven't been able to find any specific Medicare guidelines in place regarding this. I reached out to our local Medicare MAC to request some information but haven't heard anything back. Has anyone had luck billing for this and would you be willing to share what ICD-10 and HCPCS/CPT Codes have been successful or an idea what the reimbursement for the testing will be?
When we did a Community Needs
When we did a Community Needs Assessment of Asthma locally, we found another asthma peak in the over 65 population (I am one of them). We found this peak in other locations as well. Is there any progress on getting Medicare coverage for home interventions? Perhaps starting through Mediare Advantage insurers who also provide Medicaid Managed care and have a program in place there?