Home Health & Hospice Week
Educate Yourself On Valid Exceptions For Late Notice Of Election Filing
Yelling at the customer service reps at your MAC isn’t going to help if your NOE exception request gets turned down, one contractor reminds providers.
“Exception requests determinations are made by the CGS Claims department,” the MAC says in a message to providers. “The Customer Service Representatives (CSRs) in Provider Contact Center do not make those determinations. If your exception request is denied, the noncovered days can be appealed by following the Medicare Appeals Process.”
Remember: To qualify for an exception to the five-day Notice of Election timely filing deadline, circumstances causing the problem must be out of a provider’s control, CGS emphasizes.
Be alert: Providers are faxing exception requests to the wrong fax number, CGS adds. For details on the exception request process, see www.cgsmedicare.com/hhh/education/materials/requesting_exception_untimely_noes.html.
Examples of granted and denied exception requests are online at www.cgsmedicare.com/hhh/ education/materials/examples_denied_granted_exceptions.html.
Home Health & Hospice Week
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