Home Health & Hospice Week
Claims Glitch Recovery Process Depends On MAC
The NPI crosswalk glitch that was causing some agencies to have all their claims returned in error is now fixed, HHH Medicare Administrative Contractors report on their websites. Two of the MACs are now processing the hung up claims without provider action. CGS: “Claims affected by this issue were suspended in status/location S MPROV and have been released for continued processing,” CGS says. NGS: National Government Services “is in the process of recycling the claims that were returned to provider (RTP) in error on 5/17/2017,” the MAC reports. “There is no further action required by providers.” But Palmetto GBA HHAs will need to take action to resolve the issues created by the glitch. “Providers should resubmit (F9) affected claims,” Palmetto GBA instructs on its website. “Claims submitted via direct data entry (DDE) on May 16 or May 17, 2017, may not be available to view in the claims corrections option RTP file,” the MAC says. “If they are not present, please rebill as a new submission for processing.”
Home Health & Hospice Week
- Therapy:
Therapy Denials Rain Down On HHAs
Thousands of claims reviewed in past months. While you may think any amount of medical [...] - Medical Review:
Don't Let These Therapy Denial Reasons Torpedo Your Claims
Missing goals, measurements a common claim-killer. Palmetto GBA and the other HHH MACs have a [...] - Fraud & Abuse:
OIG Report Points To Misguided Fraud Policy For HHAs
Regulatory requirements aren’t catching the real criminals, attorney argues. Since the HHS OIG lists home [...] - Hospice:
OIG Circles Back To Hospice Fraud Hot Spots
Start your self-audits before you see penalties. Hospices should learn a lesson from home health [...] - Industry Note:
Joint Bundling Program Postponed
Jan. 1 new target date. Home care providers have some extra months before they’ll see [...] - Industry Note:
Medicaid Whacked In Trump Budget Proposal
There may not be any direct Medicare cuts to home health and hospice services in [...] - Industry Note:
Claims Glitch Recovery Process Depends On MAC
The NPI crosswalk glitch that was causing some agencies to have all their claims returned [...] - Industry Note:
Check Your Revalidation Date Under New Schedule
Medicare has resumed its “regular revalidation cycles” after its campaign to have providers revalidate under [...] - Industry Note:
Study: Patients Who Refuse HH Rehospitalized More
If you want to encourage referrals from hospital sources, you can use a new study [...] - Industry Note:
Texas Hospice, Physician Owner Raided By FBI
FBI agents and Texas State Troopers raided the Houston and Beaumont offices of Harbor Hospice, [...] - Industry Note:
Mother And Son Sentenced To 10, 7 Years For Fraud
A mother and son in Ohio have been sentenced to 10 and seven years, respectively, [...] - Industry Note:
State's Hidden Cameras Catch Patient Abuse By HH Aides
A popular New Jersey program providing hidden cameras to observe home health aides could spread [...] - Industry Note:
Warn Your Patients: OIG Phone Scams Continue
Tell your patients to be wary of callers offering them prizes or cash for personal [...]
