Home Health & Hospice Week
Accessing CWF To Get More Complicated
If you want to use the Common Working File, soon you’ll need to undergo verification of the National Provider Identifier (NPI) and Submitter Identification (ID), Medicare says in Change Request (CR) 10983. The requirement is similar to the HIPAA Eligibility Transaction System (HETS) “when Medicare Part A providers request Medicare beneficiary eligibility and entitlement data via the CWF provider inquiry screens,” the Centers for Medicare & Medicaid Services says in the transmittal at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10983.pdf. “The CWF host will verify the status of the NPI and the Submitter ID against information provided by the Provider Enrollment, Chain and Ownership System (PECOS) and HETS, respectively,” CMS explains. The new requirements will take effect April 1, 2019, for NPI Verification and July 1, 2019, for Submitter ID Verification.
Home Health & Hospice Week
- Payment:
Home Health Pay Error Rate Drops Dramatically To 17.6%
Don’t expect the lower rate to translate to easier oversight, however. After years of being [...] - Hospice:
Tougher Surveys May Be Ahead, Thanks To OIG Probes
Are you ready for your survey results to end up on Hospice Compare? With Medicare [...] - Billing:
Get Familiar With New Claims Requirement For County Code
Don’t let new claim element slow your cash flow in the new year. Make sure [...] - Fraud & Abuse:
Dallas & Detroit Cases Rack Up Convictions, Guilty Pleas, And Prison Sentences
Three more guilty pleas entered in Novus case. Nine defendants are on track for a [...] - Reimbursement:
Polish Your Appeals Practices To Rescue Reimbursement
Investing in your appeals process is worth the payoff. Receiving some denials may be all [...] - Industry Note:
Mind Your POC Signatures Or Face Denials
Reviewers want to see it all, MAC emphasizes. Make sure you aren’t committing this common [...] - Industry Note:
HIS Guidance Has Changed, But HIS Items Have Not
Access new guidance on completing Hospice Item Set questions accurately in the updated HIS Manual. [...] - Industry Note:
See Your HH PPS Rates For 2019
You can see a summary of your 2019 HH PPS payment rates and policies in [...] - Industry Note:
Accessing CWF To Get More Complicated
If you want to use the Common Working File, soon you’ll need to undergo verification [...] - Industry Note:
Wildfire-Impacted Agencies Qualify For OASIS Waiver
Home health agencies affected by the wildfires in California can take advantage of a blanket [...] - Industry Note:
Enrollment Application Fee Makes Big Jump
If you thought $569 was a hefty application fee for Medicare enrollment for institutional providers [...] - Industry Note:
OCR Updates HIPAA Audit Protocols
With little fanfare and no release, the HHS Office for Civil Rights has updated its [...] - Industry Note:
Record-Breaking HIPAA Settlement Announced
As 2014 ended and 2015 began, private payer Anthem Inc. suffered the biggest HIPAA violation [...]
