Home Health & Hospice Week
Correct Hospice Election Errors The Right Way
Watch out for errors on your Notices of Election, or you'll have to jump through a lot of hoops. To correct dates or other errors on a hospice NOE, you have to cancel all the claims submitted based on that NOE, then cancel the benefit period itself, HHH MAC CGS explains in its June newsletter for providers. "The CGS Provider Contact Center has had a recent increase in calls from hospice providers who need assistance with canceling a hospice NOE or a hospice benefit period," the MAC notes in the newsletter. "If an NOE is submitted and processed in error, or it contained an incorrect admit date, the NOE must be canceled to remove the incorrect/inappropriate benefit period from the CWF," CGS explains. "In order for the benefit period to be removed, a cancel NOE (type of bill 8XD) must be submitted." Common pitfall: Do not assume that an 8X8 claim will do the job. "A cancel claim (8X8) DOES NOT remove hospice benefit periods from CWF," the MAC stresses. "If any hospice claims have been processed based on the incorrect/inappropriate NOE, they will need to be canceled (type of bill 8X8) before the cancel NOE (8XD) can be submitted," CGS continues. "Claims must be canceled sequentially in reverse order (cancel June's claim first, then cancel May's claim, then cancel April's claim, etc.)." After you've verified that the periods have been canceled in the CWF, you can submit a new NOE with the correct information, CGS instructs. More information, including details of what to put in the 8XD claim fields, is in the newsletter at http://cgsmedicare.com/hhh/pubs/mb_hhh/2012/06_2012/index.html#003.
Home Health & Hospice Week
- Reimbursement:
Providers Wrestle With Common Working File Mistakes
CMS claims its hands are tied when it comes to inaccuracies in the Common Working [...] - Hospice:
Get A Glimpse Of Your Hospice Quality Reporting Future
You might want to work on your pain management strategies first.Required quality reporting for hospices [...] - Regulations:
New HHCAHPS Data Wave Coming In July
Plus: Medicare's hospice cap catch-up should end by next spring.If your CAHPS data didn't show [...] - Diagnosis Coding:
Get Your V Code Usage Straight
Warning: Don't confuse 'status' and 'attention to' V codes.Home health coders and V codes have [...] - Industry Note:
Data Mining Leads To Hospice Fraud Settlement
Owners excluded from Medicare for 7 years.If your billing is outside the norm, you'd better [...] - Industry Note:
Small Businesses Eschew Tax Credit, GAO Finds
If you're not using the Small Employer Health Insurance Tax Credit, you're not alone. When [...] - Industry Note:
Observe These New Rules For 5010 Claims
Don't let technical oversights lead to claims rejections when Medicare starts enforcing the 5010 claims [...] - Industry Note:
Prior Authorization Demo Slated For This Summer
Providers with patients who need power mobility devices are still waiting to hear when a [...] - Industry Note:
Refile RAPs For Claims Booted In Error For PECOS
If you had claims that received reason code 32072 before the PECOS edit was turned [...] - Industry Note:
Correct Hospice Election Errors The Right Way
Watch out for errors on your Notices of Election, or you'll have to jump through [...] - Industry Note:
CMS Gives Benchmark Data To Oxygen Billers
Providers who furnish home oxygen will get a chance to measure themselves against their peers [...] - Industry Note:
Virginia HHA Owner Indicted For Bogus Claims
A Medicaid home care agency owner in Virginia has been indicted for submitting claims for [...] - Reader Question:
Keep Physician Communication Open To Avoid Getting Stuck With The Bill
Make sure the ordering doc is on board with your care plan early on, experts [...]
