Home Health & Hospice Week
HEED NEW HME BILLING GUIDANCE
New guidance from the feds aims to help suppliers grasp Medicare billing requirements for capped rental home medical equipment. Keep these highlights in mind to keep claims on track:
• Maintenance for most capped rental items. Medicare contractors will no longer pay every six months for maintenance and servicing (M&S), but the program will cover "reasonable and necessary" repairs after the beneficiary holds the title.
• Maintenance for oxygen equipment. Medicare will pay for M&S every six months, starting six months after the beneficiary owns the equipment. Contractors will make M&S payments in 15-minute intervals, not to exceed 30 minutes. In addition, Medi-care will cover reasonable and necessary repairs.
Tip: To ensure payment for such claims, use the base HCPCS code for the oxygen equipment with the "MS" modifier for maintenance and servicing.
Maintenance and servicing claims for oxygen equipment should not exceed two units (of E1340) every six months.
• Replacement parts. Use the modifier "RP" to bill for replacement parts. If a specific replacement code is not available for billing, use HCPCS code E1399 with the "RP" modifier.
Note: To see the guidance in MLN Matters article 5461, go to www.cms.hhs.gov/MLNMattersArticles/downloads/MM5461.pdf.
Home Health & Hospice Week
- Budget:
FEDS PUSH FOR HHA RATE FREEZE
MedPac, CBO hammer proposals that cut Medicare home health spending
You'll have your work cut out [...] - Reimbursement:
HME SUPPLIERS STRIKE BACK ON BUDGET PROPOSALS
More payment changes loom for power wheelchairs, oxygen.
Watch out, Washington: Home medical equipment suppliers are [...] - Accreditation:
FEDS--ACCREDITATION PROCRASTINATION MAY BRING MAJOR RISKS
Final rule could pack a wallop.
If you offer home medical equipment and haven't applied for [...] - OASIS:
INCREASE OASIS ACCURACY WITH NEW PRESSURE ULCER GUIDANCE
Better pressure ulcer scoring could mean more money for your patient.
Pressure ulcer staging for OASIS [...] - Billing:
ARE COMPUTER GLITCHES EATING YOUR REIMBURSEMENT?
Medicare denied up to 333,000 claims by mistake.
You need to be vigilant for computer billing [...] - Capped Rentals:
HEED NEW HME BILLING GUIDANCE
Don't let mistakes on capped rental claims sap your bottom line.
New guidance from the feds [...] - Industry Notes:
GAO PUTS SUPPLIERS IN THE HOT SEAT
Be sure your HME claims will stand up under the microscope.
Providers of home medical supplies [...]
