Home Health & Hospice Week
Fix For Payment System Glitch Scheduled For July
If you thought your claims suspensions with reason code E94G2 were an error, think again. Back in February, HHH Medicare Administrative Contractor CGS originally reported that “some home health and hospice claims are suspending with reason code E94G2 in status/location S M90PP. FISS is incorrectly applying the reject reason code 32352 and changing the type of bill from 329 to 320.” But now, CGS says on its claims processing issues webpage that “the research done by the CGS Technical team indicated that the E94G2 is not a system issue. Appropriate No-Pay codes will be applied as necessary and the claims will be recycled to continue processing. No action by providers is necessary.” On the other hand: The problem where “some home health claims and adjustments (type of bill XXG) are suspending in status/location S M90H4 with reason code E0419, V8029, V8030, and V8031” continues, CGS notes on its webpage. “Additional issues related to the value codes were discovered,” CGS adds. “FISS maintainers have scheduled a resolution for implementation on July 3, 2017,” the MAC says. “Please note that this resolution does not address final claims.”
Home Health & Hospice Week
- Medical Review:
Implement These 6 Ideas To Fight Therapy Denials
Who is reviewing your therapy documentation? One Medicare Administrative Contractor has reviewed nearly 12,000 claims [...] - Therapy:
Wrangle Your Outside Therapist Problem With Careful Contracts
But make sure you’re obeying labor laws. Setting expectations with contract therapists from the get-go [...] - HIPAA:
Don't Risk Fines By Overlooking HIPAA BAA Agreements
Warning: Your agency’s small size won’t save you from HIPAA penalties. If your medical records [...] - Audits:
Plan Ahead To Master A RAC Audit
Tip: Keep abreast of MAC and federal changes to avoid confusion. If you wait until [...] - Hospice:
Your Duty To Adjust Incorrectly Paid Hospice Claims Depends On Your Tracking
CMS doesn’t rule out roster billing. You may want to hold off on adjusting your [...] - Industry Note:
Get Serious About Emergency Preparedness Readiness
Interpretive guidelines are out. If you’ve been waiting (against CMS’s advice) to move forward with [...] - Industry Note:
Post-Acute Care PPS Moves Forward, Despite Home Care Industry's Misgivings
A prospective payment system cutting across all post-acute providers has drawn major criticism from home care [...] - Industry Note:
Fix For Payment System Glitch Scheduled For July
If you thought your claims suspensions with reason code E94G2 were an error, think again. [...] - Industry Note:
Use This New CMS Tip To Answer HIS Item A1400 On Payors Accurately
Not sure how to answer A1400 (Payor Information) in the Hospice Item Set? You’re not [...] - Industry Note:
HHA Owner Draws 17-Year Sentence In Dr. Jacques Roy Fraud Case
One of the HHA owners in the infamous fraud case centering on Dr. Jacques Roy [...]
