Home Health & Hospice Week
Circle Back To These Incorrectly RTP'd Claims
A glitch hanging up home health and hospice claims in error has been fixed, but you’ll still need to take steps to get paid for the incorrectly suspended claims. The problem: Final claims and Requests for Anticipated Payment were erroneously Returned to Provider with reason codes 1A005 (patient middle initial invalid) and 1A006 (patient date of birth invalid), notes HHH Medicare Administrative Contractor CGS on its claims processing problems webpage. When providers selected some claims to view, the screen was blank. The solution: A fix for the problem went in Oct. 29, but agencies must deal with their suspended claims. “If you have a RAP or a claim in the RTP file with reason code 1A005 or 1A006, and the claim screens are blank, you will need to re-enter the RAP or claim information, or resubmit a new RAP or claim,” CGS instructs.
Home Health & Hospice Week
- Prospective Payment System:
HH PPS Final Rule With PDGM Payment Reform Is Out
Retained behavioral adjustment provision ruins new model, trade group insists. Medicare issued its Home Health [...] - OASIS:
Don't Let OASIS-D Sneak Up On You
Put the OASIS-D pedal to the metal right now. Whether you’ve been painstakingly preparing for [...] - Assessment:
Ramp Up On These Major OASIS-D Additions, Revisions
The changes included in OASIS-D are: a significantly expanded GG0170 (Mobility) item; three new GG [...] - Strategy:
Follow These 9 Tips To Get Ahead Of OASIS-D Switch
Make sure clinicians understand dashes. While it’s not too late to get where you need [...] - Education:
Use These OASIS-D Resources To Smooth Your Transition
Medicare is offering free OASIS-D training. Here are some places you can turn for information [...] - Industry Note:
Use This Data To Gauge Your Medical Review Risk
MAC issues NCLOS comparative billing report. Regulators and reviewers are zeroing in on hospices and [...] - Industry Note:
Study Shows PT's Value With ADLs
With the newly issued HH PPS final rule eliminating therapy as a case mix factor, [...] - Industry Note:
Understand Reopening Vs. Adjustment
Don’t waste time on a clerical error reopening when you can submit your own provider [...] - Industry Note:
Hospice Cap Season Begins
With the 2018 hospice cap reporting year ended as of Sept. 30, now’s the time [...] - Industry Note:
CMS Launches eMedicare
Your current and future patients will be able to take advantage of some new online [...] - Industry Note:
Medicare Encourages Innovative Telehealth In MA Plans
A proposed rule regarding Medicare Advantage might pave the way for more telehealth in Medicare [...] - Industry Note:
DOJ Announces New Fraud Strike Force Location
After adding a new Medicare Fraud Strike Force city just a few months ago, another [...] - Industry Note:
Circle Back To These Incorrectly RTP'd Claims
A glitch hanging up home health and hospice claims in error has been fixed, but [...] - Industry Note:
Star Rating Info Available
If you’d like more information about coming changes to Medicare’s Home Health Quality of Patient [...] - Industry Note:
You Can Still Submit Electronic Cost Report Outside MCReF
If you weren’t quite ready to submit electronic cost reports to the Medicare Cost Report [...]
