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"”
Total Codes
"”
HCPCS Codes
"”
CPT Codes
0
Claims This Month
$0
Revenue This Month

Medicare Home Health Billing Codes

Code Type Description Discipline Medicare Rate Units Status Actions
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'+ '

AccessPro HealthCare "” Billing Code Report

'+ '

Generated: '+new Date().toLocaleDateString()+' | Patient: '+eid('ai-patient').options[eid('ai-patient').selectedIndex].text+'


'+ '
'+text.replace(/&/g,'&').replace(//g,'>')+'
'); w.document.close(); setTimeout(function(){w.print();},500); } function saveToClaim(encoded){ var claim = { id: 'CLM-'+Date.now(), patient: eid('ai-patient').options[eid('ai-patient').selectedIndex].text, visitType: eid('ai-visit-type').value, date: eid('ai-date').value || new Date().toISOString().split('T')[0], payer: eid('ai-payer').value, diagnosis: eid('ai-dx').value, codes: decodeURIComponent(encoded), status: 'Draft', amount: 0, created: new Date().toISOString() }; claims.push(claim); localStorage.setItem('ap_claims', JSON.stringify(claims)); showMsg('Claim saved to Claims tab.','ok'); renderStats(); } // ============================================================ // CLAIMS // ============================================================ function renderClaims(){ if(!claims.length){ eid('claims-area').innerHTML = '
📤

No claims yet

Generate billing codes and create a claim.

'; return; } var STATUS_COLORS = {Draft:'#f1f5f9', Submitted:'#dbeafe', Paid:'#dcfce7', Denied:'#fee2e2'}; eid('claims-area').innerHTML = '
'+ ''+ ''+claims.map(function(c){ var sc = STATUS_COLORS[c.status]||'#f1f5f9'; return ''+ ''+ ''+ ''+ ''+ ''+ ''+ ''+ ''; }).join('')+'
Claim IDPatientVisit TypeDatePayerStatusActions
'+c.id+''+c.patient.split(' "” ')[0]+''+c.visitType+''+c.date+''+c.payer+''+c.status+'
'; } function openNewClaim(){ showTab('ai', document.querySelectorAll('.tab')[1]); } function submitClaim(id){ var c = claims.find(function(x){ return x.id===id; }); if(!c) return; c.status = 'Submitted'; localStorage.setItem('ap_claims', JSON.stringify(claims)); showMsg('Claim '+id+' submitted to clearinghouse via Availity.','ok'); renderClaims(); renderStats(); } // ============================================================ // PDGM CALCULATOR // ============================================================ function calculatePDGM(){ var dx = eid('pdgm-dx').value.trim().toLowerCase(); var source = eid('pdgm-source').value; var timing = eid('pdgm-timing').value; var func = eid('pdgm-func').value; var comorbid = eid('pdgm-comorbid').value; if(!dx){ showMsg('Please enter a diagnosis.','err'); return; } // Determine clinical group var group = 'Complex Medical'; if(dx.includes('fracture')||dx.includes('joint')||dx.includes('hip')||dx.includes('knee')||dx.includes('back')||dx.includes('orthopedic')) group = 'Musculoskeletal Rehabilitation'; else if(dx.includes('stroke')||dx.includes('parkinson')||dx.includes('ms ')||dx.includes('multiple sclerosis')||dx.includes('tbi')||dx.includes('neuro')) group = 'Neuro Rehabilitation'; else if(dx.includes('wound')||dx.includes('ulcer')||dx.includes('pressure')||dx.includes('surgical')) group = 'Wounds'; else if(dx.includes('depress')||dx.includes('anxiety')||dx.includes('dementia')||dx.includes('mental')||dx.includes('behavior')) group = 'Behavioral Health'; else if(dx.includes('medication')||dx.includes('iv ')||dx.includes('infusion')) group = 'Medication Management'; var groupData = PDGM_GROUPS.find(function(g){ return g.group===group; }) || PDGM_GROUPS[3]; // Base payment var basePayment = source==='Community' ? (timing==='Early' ? groupData.ec : groupData.lc) : (timing==='Early' ? groupData.ei : groupData.li); // Functional adjustment var funcAdj = func==='Low' ? 0.85 : func==='High' ? 1.18 : 1.0; // Comorbidity adjustment var comorbAdj = comorbid==='High' ? 1.12 : comorbid==='Low' ? 1.05 : 1.0; var finalPayment = basePayment * funcAdj * comorbAdj; eid('pdgm-result').innerHTML = '
'+ '
$'+finalPayment.toFixed(2).replace(/\B(?=(\d{3})+(?!\d))/g,',')+'
'+ '
Expected Medicare Payment (30-day period)
'+ '
'+ '
'+ '
'+ '
Clinical Group
'+ '
'+group+'
'+ '
'+ '
'+ '
Admission Source
'+ '
'+source+'
'+ '
'+ '
'+ '
Base Rate
'+ '
$'+basePayment.toLocaleString()+'
'+ '
'+ '
'+ '
Functional Level
'+ '
'+func+' ('+((funcAdj-1)*100>0?'+':'')+((funcAdj-1)*100).toFixed(0)+'%)
'+ '
'+ '
'+ '
'+ '⚠ Estimate Only "” Actual payment depends on final OASIS scoring, wage index, and CMS adjustments. Use this for planning purposes only. Verify with your billing software before submitting claims.'+ '
'; } function renderPDGMRef(){ eid('pdgm-ref-table').innerHTML = PDGM_GROUPS.map(function(g){ return ''+ ''+g.group+''+ ''+g.desc+''+ '$'+g.ec.toLocaleString()+''+ '$'+g.ei.toLocaleString()+''+ '$'+g.lc.toLocaleString()+''+ '$'+g.li.toLocaleString()+''+ ''; }).join(''); } function openCodeLookup(){ showTab('codes', document.querySelectorAll('.tab')[0]); eid('code-search').focus(); } function openAIBilling(){ showTab('ai', document.querySelectorAll('.tab')[1]); } // Set today's date eid('ai-date').value = new Date().toISOString().split('T')[0]; // Init loadAll();