Home Health & Hospice Week
Deadline For PECOS Edits Still Up In The Air
You can put PECOS edits a little further down on your crowded priority list. CMS "has not yet determined when it will begin to apply the expanded edit for ordering/referring provider claims," the agency says in an e-mail message to providers. Background: These edits are applicable to ordering/referring providers that do not have a record in the Provider Enrollment, Chain, and Ownership System (PECOS). Currently, home care providers receive informational edits about ordering/ referring physicians not in PECOS. In the edits' next phase, claims will reject due to the problem. Stay tuned: "CMS will give providers ample notice before the ordering/referring provider claim edit is applied," the agency pledges.
Home Health & Hospice Week
- Regulations:
Therapy 30-Day Worries Hound Home Health Agencies
Face-to face, outliers, and quality data submission also discussed in latest Open Door Forum. Home [...] - OASIS:
Prepare For OASIS-C Quality Measures To Go Public
Has your OASIS data under the new assessment form been accurate? Wondering what exactly is [...] - Billing:
Are You And Your Vendor Ready To Use the 5010 Form?
The June 15 test date is here. The Centers for Medicare & Medicaid Services is [...] - HIPAA:
Employees Peeking at Patients' PHI? Soon, Patients May Know
HHS wants you to give patients access to a list of providers who accessed their [...] - Information Technology:
Maintain Enough Storage For Records Under 5010
Question: Our vendor oversees our medical records storage systems -- should they be able to show [...] - Industry Notes:
Fraud-Fighting Focus Racks Up Billions In Recoveries For OIG
Latest OIG report to Congress highlights HHA therapy fraud case. Citing a "period of intense [...] - Industry Note:
Make Sure Your Paperwork Is In Order For Smooth Cahaba-CIGNA Switch
The transition from Cahaba GBA to CIGNA Government Services is at hand, and you should [...] - Industry Note:
Manual Now Reflects Transfer Clarifications, G Codes
The Centers for Medicare & Medicaid Services has released a lengthy update to Medicare's home [...] - Industry Note:
Public Reports On Your Quality, Cost On Deck
You could soon be under even more public scrutiny than Home Health Compare brings you. [...] - Industry Note:
Beware F2F Checkboxes
You should keep checkboxes off the face-to-face documentation forms you give physicians to sign. F2F [...] - Industry Note:
Watch For CMS Transmittal On Hospice F2F Billing
Watch for a forthcoming CMS transmittal on how to handle hospice billing when the face-to-face [...] - Industry Note:
Access HEAT Training
You can now tune into the same HEAT compliance training that the HHS Office of [...] - Industry Note:
Deadline For PECOS Edits Still Up In The Air
You can put PECOS edits a little further down on your crowded priority list. CMS [...] - Industry Note:
Put NPI On Your Check
If you need to make a repayment to Medicare and Palmetto GBA is your MAC, [...] - Industry Note:
National Chain Pays $12.5M To Settle Fraud Charges
Cost-based reimbursement may be long in the past, but a multi-million-dollar settlement may make it [...]
