Home Health & Hospice Week
Avoid Appeals Duplication With This RHHI Tool
Published on Wed Nov 10, 2010
If you want to appeal your first-level claim decision to the Qualified Independent Contractor (QIC), know what to include in the appeal -- and what not to. "Providers DO NOT need to resubmit documentation that was submitted as part of the first level appeal," RHHI Palmetto GBA says in a new job aid on the first level appeal decision letter. "This will be forwarded by the contractor to the QIC." Providers should include any new documentation, though. The letter should list what documentation was missing from the appeal, the aid says. For a free copy of and link to the aid, e-mail editor Rebecca Johnson at rebeccaj@eliresearch.com with "appeal letter aid" in the subject line.
Other Articles in this issue of
Home Health & Hospice Week
- Prospective Payment System:
Make Sure The Certifying Doc Does The FFE And Documentation, Too
A different physician can sign the patient's plan of care, however. If Medicare's final rule [...] - Hospice:
No Exceptions For Hospice Face To Face Encounters
Should you hold off on admitting a patient until the FFE can be done? Starting [...] - Regulations:
Turn To Youtube For OASIS C Training
Date stamping, increased audits, claims deadlines also addressed in forum. It may be later than [...] - HIPAA:
Just Because Lawyers Request Records Doesn't Mean You Must Send Them
3 steps help you avoid violating HIPAA laws in these situations. Picture this: An attorney [...] - Contractors:
New Medicare Contractor Takes Over Cahaba Region
HHAs and hospices from 15 states will see new Medicare contractor in 2011. States in [...] - Industry Notes:
DME Bidding Deadline Approaches
Suppliers fight against program in eleventh hour. Beneficiaries using durable medical equipment in nine competitive [...] - Red Flag Rule Bill Awaits President's Signature
You may get a breather from any Red Flag Rule worries. "New legislation passed by [...] - Check This List Twice
Don't forget to check the HHS Office of Inspector General's exclusion list when you hire [...] - Doc Pay Fix Leaves Home Care Unscathed -- For Now
Industry observers are cautiously optimistic about the so-called "doc fix" that congressional leaders are working [...] - Don't Make This Common Point Of Origin Code Error
HHAs continue to mess up point of origin codes on their claims, and the results [...] - Avoid Appeals Duplication With This RHHI Tool
If you want to appeal your first-level claim decision to the Qualified Independent Contractor (QIC), [...] - Public Reporting Of CAHPS Measures Starts In 2011
In the rush of all the new requirements hitting Jan. 1, don't forget to apply [...] - OIG Calculates Test Strip Benchmark For Bidding
It may not be easy for the competitive bidding program to comply with a statutory [...] - Four More HHA Fraudsters Arrested In Detroit
Federal agents have arrested four more individuals for alleged Medicare fraud related to Patient Choice [...]
View All
