Home Health & Hospice Week
Industry Note:
Action Required To Recover Funds Stalled Due To 32061
Published on Fri Apr 12, 2013
HHH MAC CGS has turned off Reason Code 32061 that was inappropriately holding up hospice and HHA payments from Medicare (see Eli’s HCW, Vol. XXII, No. 12), but you may need to take some extra steps to get your rightful reimbursement.
"CGS has released the claims that were in the returned to the provider (RTPd) inappropriately," the MAC says. "However, some hospice claims (types of bill 81X and 82X) and home health (type of bill 34X) claims may still appear in the RTP file with reason code 32061."
Take action: "Providers should be aware that they need to F9 any remaining claims in the RTP status/location (T B9997) with reason code 32061," CGS explains.
Other Articles in this issue of
Home Health & Hospice Week
- Medical Review:
Don't Let F2F Errors Trip Up Your Reimbursement
Reviewers shoot down 20% of claims for physician-related paperwork errors. The content of your documentation [...] - Budget:
President Obama Proposes Home Health Copays
Copays would start in 2017, if White House gets its way. Home health agencies [...] - OASIS:
Missing OASIS Sinks Claims
Tip: Include OASIS transmission record when you respond to an ADR. Missing OASIS assessments might [...] - Reimbursement:
Scratch This Physician-Related Requirement
But you still need to report new Q codes starting July 1. Home health [...] - Therapy:
Know Therapy Review Ropes To Minimize Disruption
Hold tight: CMS promises a more permanent solution soon. If you’re furnishing Part B outpatient [...] - Billing:
Three-Fourths Of HHAs Fail PECOS Edits
Tip: Check for extra spaces in your doc names. You have only a few weeks [...] - Industry Note:
Watchdog Agency Pushes Surety Bonds
OIG wants even larger bonds for DME suppliers. The OIG is urging CMS to get tougher [...] - Industry Note:
Learn Hospice GIP Lessons From New Resource
Don’t expect caregiver breakdown to qualify your hospice patient for the General In-patient (GIP) level [...] - Industry Note:
Action Required To Recover Funds Stalled Due To 32061
HHH MAC CGS has turned off Reason Code 32061 that was inappropriately holding up hospice [...] - Industry Note:
DME Bidding To Hit 91 Cities In July
Get ready for your patients’ access to durable medical equipment to change this summer. CMS [...] - Industry Note:
Hospice Notifies 5,000 Patients Of Possible HIPAA Breach
A North Carolina hospice is notifying patients of a possible HIPAA breach, and for once [...] - Industry Note:
Late Payments Aren't Really Late, MAC Maintains
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Detroit HHA Owner, PT Found Guilty Of Fraud
A Detroit-area HHA owner and physical therapist have been found guilty in a $2.3 million [...]
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