Home Health & Hospice Week
Edits Checking Type Of Admission Codes Reactivated
Type of admission codes are giving hospices more headaches, but the issues soon should be resolved. The problem: "Providers are receiving reason code 11801 but were not able to access the DDE field to make the necessary corrections. Such claims returned to provider (RTP'd) for correction and are in suspense status location SMPRZ" with HHH MAC NHIC, the Medicare contractor reports in an e-mail message to providers. The solution: The claims system problem was resolved and the edit was reactivated May 9, NHIC reports. "Claims are now receiving reason code 11801 correctly," it says. The affected claims will RTP and hospices should add the appropriate type of admission code and resubmit. Remember, the type of admission codes now required on claims are 1 (emergency), 2 (urgent), 3 (elective), 4 (newborn), 5 (trauma), and 9 (information not available). Providers should use "9" if they're not sure what applies, CMS said earlier this year in a message to providers.
Home Health & Hospice Week
- Kickbacks:
Reconsider Your Online Referral Subscription
OIG gives thumbs down to referral software. Home care providers feeling cornered by hospitals' use [...] - Compliance:
Use These 4 Tips To Sidestep F2F, Therapy Compliance Pitfalls
Cast a compliance eye on the new regulatory requirements that hit April 1. Don't get [...] - Fraud & Abuse:
OIG Plans To Crack Down On Documentation Requirements
Mandatory compliance plans are on deck, OIG says in HEAT training session. Home care providers [...] - Compliance Plans:
Your Compliance Plan Should Include These 7 Elements
"While the specifics are still being ironed out through the regulatory process, we do know [...] - Disaster Planning:
Are Your Emergency Preparedness Plans Ready?
Recent natural disasters serve as grim reminders. Among the people affected by recent natural disasters [...] - Industry Note:
Hospices Get Early Look At Hospice Cap Amount
Use the info to make cap appeals decisions. Hospices have a lot of decisions to [...] - Industry Note:
New Agencies Can't Ignore OASIS
Recently enrolled HHAs should start submitting OASIS data by June 30 to avoid a 2 [...] - Industry Note:
Edits Checking Type Of Admission Codes Reactivated
Type of admission codes are giving hospices more headaches, but the issues soon should be [...] - Industry Note:
Medicaid F2F Requirement Looms On Your Horizon
If you haven't seen a physician face-toface requirement for home health and/or hospice in your [...] - Industry Note:
You'll See Vaccine Roster Billing Fix In July
A solution for vaccine roster billing will take effect in July. Now: "Reason code 31596 [...] - Industry Note:
Get Ideas For Vision-Related Falls Reduction Here
Looking for ways to help reduce falls in your visually impaired patient population? You may [...] - Industry Note:
Don't Forget "OTH PHYS" Field On Claims
Just because you can leave the "OTH PHYS" field on hospice notices of election blank [...] - Industry Note:
Two Regional Chains Merge Into One
Two regional chains are merging to create a larger presence in the Southeastern U.S. Nashville- [...]
