Home Health & Hospice Week
Industry News:
Claims System Glitch Derails Hospice Payments
Published on Fri Apr 05, 2013
Beware this glitch holding up your hospice reimbursement. Claims are being incorrectly returned to provider (RTP’d) with reason code 32061, says HHH MAC CGS. “This reason code indicates that a split claim is required on all non-PPS bills when the TO date on the claim overlaps the fiscal year end of the provider,” CGS explains.
Good news: At press time, CGS announced that CMS is turning off the edit. “CGS is in the process of releasing these claims, and anticipates all claims to be released within the week,” the MAC says in a message to providers.
Other Articles in this issue of
Home Health & Hospice Week
- Referrals:
Get Ready To Say ' No' To Referrals, Thanks To PECOS Edits
The number of your docs without a PECOS file may surprise you. Home health [...] - Edits:
Approach Pending PECOS Enrollment With Caution
Will you take the physician’s word for it? Just like saying “the check is [...] - Fraud & Abuse:
Qui Tam Suit Nets Whistleblower $1.8 Million
Catch up on recent enforcement actions. The last few weeks have brought a slew [...] - Diagnosis Coding:
Start Your ICD-10 Engines With This Bite-Sized Introduction
Get comfortable with the guidelines and format now, not later. With a myriad of [...] - Strategy:
Use This Resource To Work Toward Patient-Centered Care
Follow these 5 strategies to achieve the best care at lower cost. If you [...] - Industry News:
Home Care Providers In Region C Court Most RAC Scrutiny
Billing, OASIS top RAC hit list. Recovery Audit Contractors continue to crank up their review [...] - Industry News:
CMS Declares Claims Hold
Errors in this month’s Medicare claims system update could affect your cash flow. - Industry News:
Pre-Pay Therapy Review Commences
HHAs that furnish outpatient Part B therapy in the home will have major headaches billing [...] - Industry News:
Claims System Glitch Derails Hospice Payments
Beware this glitch holding up your hospice reimbursement. Claims are being incorrectly returned to provider [...] - Industry News:
Hospitals Lean On Home Care For Readmission Prevention
More hospitals are relying on home care to curb their rehospitalization rates. Hospitals in Spartanburg, [...] - Industry News:
Focus On Upcoming Hospice Data Deadlines, CMS Urges
The deadlines for reporting hospice quality data this year have passed, but it’s never too [...] - Industry News:
ICD-10 Typo Panics Home Care Providers
Don’t freak out if you read in a newly revised MLN Matters article that ICD-10 [...] - Industry News:
Workers' Class Action Lawsuit Dogs Beleagured Hospice
Add a class action lawsuit to the list of San Diego Hospice’s woes. - Industry News:
Chain Makes Hospice Buy In Alabama
LHC Group Inc. is wading further into the hospice market. It has acquired the assets [...]
View All
