Home Health & Hospice Week

Industry Note:

MAC Resolves 5010 Billing Glitc

The Centers for Medicare & Medicaid Services wants home health agencies and hospices that have tested the new 5010 claim format to start submitting 5010 claims only by February, but CMS has been having problems with its own processing of the claim format. Problems submitting 5010 claim formats have been reported since December. Now HHH MAC NHIC says it has successfully reprocessed 5010 claims with receipt dates through Dec. 14, and plans to have all such claims completed by Jan. 6. "The files being resubmitted by NHIC, Corp. will retain their original submission dates and will not pend to the 14-day payment floor if the receipt date is more than 14 days ago," the MAC points out in its e-mail message to providers. In case you got missed: "Any file originally submitted prior to 12/15/11 that has not received a 277CA report should be resubmitted by the original 5010 trading [...]
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