Home Health & Hospice Week
Hold Your Hospice Vaccination Claims, MAC Advises
Hospices have one more billing headache to deal with, and a portion of claims to hold.
The problem: “When the hospice bills a PPV/Medicare Pneumococcal/Influenza claim to Medicare and it approves, their monthly claim is Returned to Provider (RTP) with Reason Code U5601,” HHH Medicare Administrative Contractor Palmetto GBA says in a new post to its website. “The reason code states a date of service overlap of a previously accepted claim.”
The solution: Palmetto hasn’t figured out the problem yet, the MAC admits. But in the meantime, “due to the difference in reimbursement amounts, it is recommend a hospice bill their monthly claims and hold their Pneumococcal/Influenza claims until further direction is received.”
Home Health & Hospice Week
- OASIS:
Hit These Important OASIS-C2 Points Before Jan. 1 Implementation
Major pressure ulcer changes may throw your OASIS staff — and your payments — for [...] - OASIS:
Get Up To Speed On OASIS-C2 With These Resources
Free tools, seminars and guidance documents are available — if you know where to find [...] - Reimbursement:
MedPAC Sharpens Budget Ax For Home Health Rates
Influential commission calls for 5 percent cut. If you thought the Medicare Payment Advisory Commission’s [...] - Hospice:
MedPAC Readies Hospice Rate Freeze Proposal For 2018
Advisory body predicts a 7.7 percent profit margin for 2017. Hospices won’t find any presents [...] - HIPAA:
Don't Let Patient Satisfaction Efforts Derail HIPAA Compliance
Do you have unprotected PHI going out in your mail? Value-Based Purchasing, 5-Star ratings on [...] - Human Resources:
Achieve Employee Improvement With Standardized Feedback Process
Tip: Start with stating observations instead of throwing accusations. Are you frustrating your employees — [...] - Industry Note:
OIG Focus On Physician Topic Could Affect Home Care
Watchdog agency singles out Chronic Care Management billing for scrutiny. Do your referring physicians know [...] - Industry Note:
Medicare Allows Another NOE Timely Filing Exception
Don’t let Medicare’s own billing system problems continue to cost your hospice. “Medicare has determined [...] - Industry Note:
Provide Patient Transport Under New AKS Safe Harbor
Are you sailing in a safe harbor of the Anti-Kickback Statute? Consult the HHS Office [...] - Industry Note:
Hold Your Hospice Vaccination Claims, MAC Advises
Hospices have one more billing headache to deal with, and a portion of claims to [...] - Industry Note:
3 Sentenced For Medicaid Home Health Fraud
Three people have received nearly nine years in prison sentences, collectively, after pleading guilty to [...] - Industry Note:
VNSNY Battles Misallocation Accusations
The Visiting Nurse Service of New York is under fire for misallocating disaster relief funds [...]
