Home Health & Hospice Week

Industry News:

CMS Declares Claims Hold

Errors in this month’s Medicare claims system update could affect your cash flow.

The Centers for Medicare & Medicaid Services has detected “technical issues” that affect certain provider claims, including home health final claims, it says in a message to providers. The problems affect only claims with dates of service April 1 or later.

 “As a result of these issues, CMS has instructed its Medicare claims administration contractors to hold [these claims] until April 14, 2013, when system fixes are expected to be implemented,” the agency says. “These claims will be released into processing on April 15, 2013.”

Hopefully, most home health agencies won’t see a significant impact, since Medicare’s 14-day payment floor would keep claims dated April 1 from paying before April 15 anyway.

However: Keep an eye out to make sure the fix actually works as expected and the held claims process timely, experts caution.

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