Home Health & Hospice Week
Here's How To Handle Missing OASIS
Don’t overlook an important instruction that applies now in Medicare’s latest transmittal regarding PDGM billing. The Centers for Medicare & Medicaid Services included a directive on how to handle claims that are currently returned for having no corresponding OASIS assessment. “If the claim is returned, the HHA may correct any errors in the OASIS or claim information to ensure a match and then re-submit the claim,” says CR 11272 at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R4294CP.pdf. The transmittal also gives instructions for when “there was no error and the HHA determines the claim did not meet the condition of payment,” notes HHH Medicare Administrative Contractor Palmetto GBA in a new post on its website. The HHA then must bill for a denial using Type of Bill (TOB) 0320, occurrence span code 77 with span dates matching the From/Through dates of the claim, and condition code D2.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
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Here's How To Handle Missing OASIS
Don’t overlook an important instruction that applies now in Medicare’s latest transmittal regarding PDGM billing. [...] - Industry Note:
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2 HHA Owners Head To Jail Over Tax Fraud
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