Home Health & Hospice Week
Beware Group NPIs On Your HHA Claims
If you're using the wrong physician NPI on your claims, expect some communication from your MAC. Wrong way: "Regional Home Health Inter-mediaries (RHHIs) and A/B MACS with home health workloads will be contacting home health agencies (HHAs) that submitted claims using both a group name and national provider identifier (NPI) as the attending NPI for ordered or referred services," the Centers for Medicare & Medicaid Services says in an e-mail message to providers. Right way: "The physician's name and NPI, not a group name and NPI, must be used as the attending name and NPI on the claim," CMS stresses. CMS recently sent a message urging physicians to provide their individual NPI to HHAs upon request (see Eli's HCW, Vol. XXI, No. 25, p. 202). Watch out: "Once CMS turns on the edits for ordering/referring services, claims using a group NPI will be denied," the agency warns. Despite high speculation, CMS has not said when it is turning on the NPI/PECOS-based physician edits. The agency has said it will provide at least 60 days' notice before turning on PECOS edits.
Home Health & Hospice Week
- Hospice:
Hospices Brace For Modest 0.9% Pay Increase
Wage index adjustment strips $100 million from hospice payments in 2013.Medicare payment reform is on [...] - ICD-9:
CMS Cracks Down On Diagnosis Coding For Hospice Patients
The codes you put on your claims will help shape hospice payment reform, CMS warns. [...] - Diagnosis Coding:
Use These 3 Tips To Ramp Up On Hospice Coding
Pointer: You don't necessarily have to hire a credentialed coder.Hospices that haven't been complying with [...] - Industry Note:
HHA Must Pay Nearly $200K In Age Discrimination Lawsuit
Don't underestimate the reputational costs of HR-related legal action.You're facing increased financial risk in the [...] - Industry Note:
CMS Wants Bigger Wage-Adjusted Portion For Home Health PPS Rates
Your stake in the wage index lottery is going to get higher next year, if [...] - Industry Note:
Beware Group NPIs On Your HHA Claims
If you're using the wrong physician NPI on your claims, expect some communication from your [...] - Industry Note:
Some De-Identified CAHPS Data Banned
Home health agencies trying to figure out how patient satisfaction varies among different types of [...] - Industry Note:
Switch To 5010 RAs Before Aug. 1 Deadline
You'd better switch over to the 5010 version of electronic remittance advices (835s) by the [...] - Industry Note:
ICD-11 Implementation Still A Long Way Off
Despite endorsement of a direct move to ICD-11 from the American Medical Association and others, [...] - Industry Note:
Know Which Supplies To Include On HH Claims
Confused over how to bill your supplies under home health PPS? HHH Medicare Admini-strative Contractor [...] - Industry Note:
Follow This Tip For Faster CERT Review Resolution
For faster resolution of your claims reviewed under the Comprehensive Error Rate Test-ing program, don't [...] - Industry Note:
Health System Sells Home Care Unit To VNA
VNA Care Network & Hospice of Worcester, Mass., plans to buy UMass Memorial Home Health [...] - Industry Note:
PTA Poser Pleads Guilty In Detroit Fraud Case
Another guilty plea has come out of the $13.8 million fraud case against Detroit-area HHAs [...]
