Home Health & Hospice Week
Double-Check These Exceptions When You Miss The Timely Filing Deadline
Think you'll have to kiss some Medicare reimbursement good-bye because you missed the timely filing deadline of 12 months? You may be able to find some relief. Background: For claims with dates of service on or after Jan. 1, 2010, the Affordable Care Act imposed a new 12-month timely filing deadline, notes HHH Medicare Administrative Contractor CGS on its website. Prior to that, providers had up to 27 months to file a claim, the Centers for Medi-care & Medicaid Services says in a MLN Matters article on the topic. In January 2011, CMS announced exceptions to the one-year Medicare claim filing period, CGS notes. The exception reasons, which allow extensions of the timely filing provisions, include administrative error, retroactive disenrollment from a Medicare Advantage plan, retroactive Medicare entitlement, and retroactive Medicare entitlement involving state Medicaid agencies, CMS notes in the article. More details about the exceptions are in the MLN Matters article at www.cms.gov/MLNMattersArticles/downloads/MM7270.pdf.
Home Health & Hospice Week
- Referrals:
F2F Requirements Cut Into Home Care Referrals
CMS defends its face-to-face documentation requirements for physicians. Face-to-face documentation may be out of your [...] - Regulations:
Homebound Problems Dominate Claims Denials
CMS also discusses new OASIS form, PPS rate cuts, and more at industry conference. Expect [...] - Fraud & Abuse:
Hospices Feature In Fraud Cases
Whistleblower case leads to $700,000 settlement. It's not just owners of shady hospices that the [...] - Reimbursement:
Is Outdated Coding Delaying Your Reimbursement?
Watch out for these old codes. If you're receiving denied claims due to diagnosis coding [...] - Diagnosis Coding:
Avoid These Invalid Codes
Additional codes that became invalid for 2012 include: 286.5 (Hemorrhagic disorder due to intrinsic circulating [...] - Industry Note:
Keep An Eye On IPAB Legislation
Providers band together to protest Medicare payment board. The U.S. House of Representatives has passed [...] - Industry Note:
Double-Check These Exceptions When You Miss The Timely Filing Deadline
Think you'll have to kiss some Medicare reimbursement good-bye because you missed the timely filing [...] - Industry Note:
Steer Clear Of These Prohibited CAHPS Questions
You can add supplemental questions to your Home Health Consumer Assessment of Healthcare Providers and [...] - Industry Note:
Diabetes Prevention Saves Money And Boosts Outcomes
Your current and future patients may benefit from new research findings about preventing diabetes. A [...] - Industry Note:
Stick To Monthly Billing For Hospice, MAC Stresses
If you submit more than one claim per hospice patient per month, you're on Palmetto [...] - Industry Note:
Download Newest PPS Pricer From CMS
You can download a new prospective payment system pricer for 2011. The PPS pricer, which [...] - Industry Note:
Bookkeeper Embezzled $171K From Hospice
Be sure you're monitoring your financial employees closely, or they may be taking money out [...] - Industry Note:
SNF Class Action Settlement Benefits California Hospice
Poor behavior on the part of a nursing home chain has resulted in a boon [...]
