Home Health & Hospice Week

Industry Note:

Facilities Pay For Late Data

Have you been wondering if Medicare would follow through on penalizing home health agencies for late or missing OASIS data? You might get a clue from a new audit topic picked up by two Recovery Audit Contractors. The RACs for Region A (Diversified Col-lection Services) and Region B (CGI) have posted "Late Submissions of IRF-PAI Data," as topics. Inpatient rehabilitation facility-patient assessment instrument (IRF-PAI) data, which is collected on a Medicare Part A fee-for-service inpatient, must be transmitted to the Centers for Medicare & Medi-caid Services National Assessment Collection Data-base by the 17th calendar day from the date of the patient's discharge. Transmission of the IRF-PAI data record 28 or more calendar days after the discharge date will result in the claim incurring a 25 percent late transmission penalty. It would be easy for the RACs to crunch data and find late and missing OASIS data for home health claims [...]
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