Home Health & Hospice Week
Late Payments Aren't Really Late, MAC Maintains
You may have noticed sluggish payments this month, but that’s tough cookies, one MAC is telling providers.
"Implementation of additional edits at the Common Working File (CWF) to ensure proper claims payment, and the CWF ‘Dark’ days that occurred on March 29, and March 30, 2013, has contributed to additional claims processing time for all billing transactions," acknowledges HHH MAC CGS on its website.
But Medicare regulations say that contractors have 30 days to process clean claims, the MAC maintains. "While the typical timeframe to process claims is less than this, contractors have the full 30 days from the receipt date of a clean claim to process it," it adds.
Certain claims don’t even have those minimum standards, CGS points out. "Home health Requests for Anticipated Payment (RAPs) and hospice Notice of Elections (NOEs) are not considered claims and thus, there is no specified timeframe for processing them."
Home Health & Hospice Week
- Medical Review:
Don't Let F2F Errors Trip Up Your Reimbursement
Reviewers shoot down 20% of claims for physician-related paperwork errors. The content of your documentation [...] - Budget:
President Obama Proposes Home Health Copays
Copays would start in 2017, if White House gets its way. Home health agencies [...] - OASIS:
Missing OASIS Sinks Claims
Tip: Include OASIS transmission record when you respond to an ADR. Missing OASIS assessments might [...] - Reimbursement:
Scratch This Physician-Related Requirement
But you still need to report new Q codes starting July 1. Home health [...] - Therapy:
Know Therapy Review Ropes To Minimize Disruption
Hold tight: CMS promises a more permanent solution soon. If you’re furnishing Part B outpatient [...] - Billing:
Three-Fourths Of HHAs Fail PECOS Edits
Tip: Check for extra spaces in your doc names. You have only a few weeks [...] - Industry Note:
Watchdog Agency Pushes Surety Bonds
OIG wants even larger bonds for DME suppliers. The OIG is urging CMS to get tougher [...] - Industry Note:
Learn Hospice GIP Lessons From New Resource
Don’t expect caregiver breakdown to qualify your hospice patient for the General In-patient (GIP) level [...] - Industry Note:
Action Required To Recover Funds Stalled Due To 32061
HHH MAC CGS has turned off Reason Code 32061 that was inappropriately holding up hospice [...] - Industry Note:
DME Bidding To Hit 91 Cities In July
Get ready for your patients’ access to durable medical equipment to change this summer. CMS [...] - Industry Note:
Hospice Notifies 5,000 Patients Of Possible HIPAA Breach
A North Carolina hospice is notifying patients of a possible HIPAA breach, and for once [...] - Industry Note:
Late Payments Aren't Really Late, MAC Maintains
You may have noticed sluggish payments this month, but that’s tough cookies, one MAC is [...] - Industry Note:
Detroit HHA Owner, PT Found Guilty Of Fraud
A Detroit-area HHA owner and physical therapist have been found guilty in a $2.3 million [...]
