Home Health & Hospice Week
MACs Get Marching Orders To Reprocess Rural Add-On Claims
Remember: This is the last year of a full add on under BBA 18. As promised, Medicare has instructed the Medicare Administrative Contractors to automatically reprocess affected claims for the retroactive rural-on provision. Reminder: In the Bipartisan Budget Act of 2018 enacted in February, Congress implemented a restoration of the 3 percent add-on, although it will phase out over five years (see details, Eli's HCW, Vol. XXVII, No. 9). According to Change Request 10531 issued March 20, "contractors shall reprocess home health claims with the following criteria:" Type of Bill 32X; Claim "Through" dates on or after Jan. 1, 2018; Value code 61 amounts in the range 999xx; and receipt dates prior to the installation of the revised home health Pricer. Claims submitted on the CR's April 2 implementation date or later should be processed with the add-on, if applicable, and won't need reprocessing, CMS says in the transmittal. In CMS's Feb. 28 Home Health Open Door Forum, a CMS staffer said he wasn't sure how long it would take to begin reprocessing claims for the add-on adjustments. But the CR indicated April 2 was the "date to begin reprocessing claims." Resource: See the CR at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R2047OTN.pdf.
Home Health & Hospice Week
- OASIS:
Submit Your OASIS-D Suggestions Before It's Too Late
Comment early and often. If you think Medicare needs to change some things about the [...] - Managed Care:
Watch For Business Opportunities As Medicare Allows MA Plans To Cover Aide Services
Key: Help show that aide services will 'reduce avoidable emergency and healthcare utilization.' Exactly how [...] - Regulations:
Stark Law Fate Uncertain, CMS Administrator Indicates
Will a decades-long prohibition on physician referrals and ownership get the ax? Home care and [...] - Medical Review:
Pay Attention To Midstream TPE Education
Improving your billing rate in the middle of a Targeted Probe & Educate round could [...] - Diagnosis Coding:
Stop Using ICD-9 As A Coding Crutch
Remember, you won't get any more GEMs. Question: I often find myself coding ICD-9 in [...] - Industry Note:
MACs Get Marching Orders To Reprocess Rural Add-On Claims
Remember: This is the last year of a full add on under BBA 18. As [...] - Industry Note:
Share These Recert Estimate Tips With Your Docs
Are you risking denials with records that include an insufficient physician recertification estimate - or [...] - Industry Note:
Half Of Docs Spend Less Than A Minute Reviewing 485
A new study by Johns Hopkins University researchers underscores what many home care providers have [...] - Industry Note:
View HIS Coding, HQRP Training At Your Leisure
Help for hospices is now available from Medicare in a number of new educational offerings. [...] - Industry Note:
New Quality Measure Aims To ID Problem Discharges
Now's your chance to comment on a new quality measure Medicare is readying to address [...] - Make The Most Of Your Eli's Home Care Week Subscription
You have 15 years' worth of information on a multitude of home health topics at [...] - Industry Note:
Double-Check Who Is Signing Your Cost Reports
Some newly announced changes for home health agency cost reports may alter how you submit [...] - Industry Note:
Massive Merger Of LHC, Almost Family Complete
Two publicly traded chains, LHC Group Inc. and Almost Family Inc., have completed their merger. [...] - Industry Note:
Private Duty Chain Addus Makes Major Acquisition
Private duty chain Addus HomeCare Corp. has purchased the assets of Arcadia Home Care & [...] - Industry Note:
Updated Hospice PEPPER Reports Out Soon
Get ready for an update to the free benchmarks Medicare provides you through the PEPPER [...]
