Advanced Search

Home Health & Hospice Week

Industry Note:

Code Nonroutine Supplies Accurately Or Risk PPS Rates

Published on Thu Mar 22, 2012

Policymakers soon will begin the process of "rebasing" PPS rates. Will you get enough credit for the supplies you provide? The HIPPS code you submit for a final claim should end in a letter if you provide supplies and a number if you don't, HHH MAC NHIC reminds HHAs in a tool regarding accurate nonroutine supply (NRS) coding. But your claim will be returned if you list a HIPPS code ending in a letter and fail to include supply revenue codes. "Ensure the information submitted on your final claim matches the information in the patient's medical records for the episode," NHIC instructs in the tool at www.medicarenhic.com/RHHI/rhhi_publications.shtml. "Be sure to submit the appropriate supply code(s) on the final claim if supplies were provided during the episode."
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All