Home Health & Hospice Week
A/B Shift Error Requires Adjustments
Don’t let an administrative glitch confuse your billing efforts. The problem: The allocation of home health agency payments between Medicare Part A and Part B, which does not affect payments to agencies, did not work on about 9,000 claims, reports HHH Medicare Administrative Contractor Palmetto GBA on its website. “The shift of payment for home health claims was not working as designed,” the MAC explains. “The system was designed that once the final payment for an episode is calculated, the Medicare claims processing systems will determine whether the claim should be paid from the Medicare Part A or Part B trust fund.” The shift occurs only on final claims, not requests for anticipated payment. The solution: “Palmetto GBA is adjusting the approximately 9,000 claims that did not have the shift occur, but should have,” the MAC informs providers. “The purpose of the adjustments is to shift the payment fund value codes from A to B (or vice versa).” How you can tell: You can identify when a claim has been adjusted when “the Type of Bill (TOB) for the adjustments is 32G and the remarks … state ‘A/B SHIFT,’” Palmetto explains. The MAC expects to wrap up the adjustments in 90 days.
Home Health & Hospice Week
- Reimbursement:
'Enhanced Oversight' For All New HHAs Means No RAPs — At Least For A While
Do feds see RAPs as free loans? A new RAP suppression instruction shows why home [...] - Billing:
Here's How RAP Suppression Will Work
HHAs must continue to submit RAPs, despite receiving no reimbursement for them. Medicare has laid [...] - Fraud & Abuse:
Kickback Schemes Lead To Guilty Plea, Conviction, Arrests
Therapy company staff fake notes, feds say. Illegal kickbacks are at the heart of three [...] - HIPAA:
No BAA Means No Business With That Vendor — Every Time
Failing to vet a vendor could cost you big. With so much on your plate, [...] - Industry Note:
Medicare Number Switch Gives Rise To Payment Glitch
MBI-HICN mismatch causes returned claims. Medicare has completed replacing beneficiaries old Health Insurance Claim Numbers, [...] - Industry Note:
CMS Issues Spending Projections
Spending on home care is projected to rise a whopping 83 percent from 2018 to [...] - Industry Note:
CAHPS Survey Mode Change Mulled
If you are frustrated by the difficulty of getting beneficiaries or their caregivers to respond [...] - Industry Note:
RHC Pay Problems Persist
Will the next Medicare claims system update finally clear up problems related to Routine Home [...] - Industry Note:
A/B Shift Error Requires Adjustments
Don’t let an administrative glitch confuse your billing efforts. The problem: The allocation of home [...] - Industry Note:
Don't Forget Digits
Make sure you’re inputting your county code correctly on your RAPs and final claims, or [...] - Industry Note:
Revisit Your Emergency Preparedness Plan
If the Zika virus, Ebola, and other types of infections aren’t covered in your Emergency [...] - Industry Note:
Know Your 'O's From Your Zeroes
Don’t forget that the new Medicare Beneficiary Identifiers do not contain “Os,” but instead utilize [...] - Industry Note:
Check The Newest Hospice Compare Data
Take a look at your most updated Hospice Compare data, which is now up on [...] - Industry Note:
HHQRP Training To Cover OASIS-D
Registration is still open for Medicare’s two-day Home Health Quality Reporting Training event in Baltimore [...] - Industry Note:
CMS Podcast Debuts
You can take a break from listening to Serial, Hidden Brain, and other popular podcasts [...] - Industry Note:
If The Holiday Rush Kept You From Tuning In
If the holiday rush kept you from tuning in to Medicare’s training webinar on hospice [...] - Industry Note:
Amedisys Grows Its Hospice Business — Again
Amedisys has agreed to purchase RoseRock Healthcare, a hospice in Tulsa, Oklahoma, the Baton Rouge, [...] - Industry Note:
Texas, Ohio Hospices Open Inpatient Units
The number of hospice inpatient facilities is increasing. In Texas: Hospice of Wichita Falls will [...]
