Home Health & Hospice Week
Mind Sequencing For NOTR Submission Success
You’ll have a hard time making your Notice of Termination/Revocation filing deadline if you lag on your hospice claims billing.
“Will a NOTR process if the discharge/revocation occurs during a benefit period that has not yet been established at the CWF?” a hospice asks in a recent question-and-answer about CR 8877.
“No. The NOTR will RTP with a reason code indicating that the revocation/termination date does not match a benefit period posted to the CWF,” CMS responds. In order for an NOTR to process, the benefit period in which the patient was discharged has to be established in the CWF.”
For example: “If the beneficiary revokes or is discharged on November 2nd, but the current benefit period posted in the CWF ends on October 27th, the claim for the October billing period must be submitted to get the subsequent benefit period posted to the CWF before an NOTR will process,” CMS explains in the Q&A posted on multiple HHH Medicare Administration Contractor websites.
More about the NOTR five-day billing deadline is in the CR at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/ R3032CP.pdf.
Home Health & Hospice Week
- Face-To-Face:
Prepare For More Resentment From Docs For New F2F Rules
Ring in the New Year with more documentation requests for referring physicians. While home health [...] - Documentation:
Will A Simple Signature And Date Suffice For F2F Documentation?
Agencies seek answers as the new F2F implementation date nears. With Jan. 1 right around [...] - Regulations:
Use These 8 Tips To Ramp Up For F2F Change In The New Year
Work on your physician relationships ASAP. Face-to-face physician encounter requirements often torpedo claims, but you [...] - Education:
Check Out These Offerings To Stock Your Doc Training Toolbox
Only one CMS educational event is updated with the new requirements. Home care providers may [...] - Medical Review:
CMS Runs Down Its Checklist For Home Care Eligibility
Physicians’ records need this documentation. Not sure what medical reviewers will be looking for when [...] - Industry Notes:
Study Debunks Nursing Home/Home Dichotomy For Hospice
‘Crossover’ patients see longest stays, highest costs, study finds. Nursing home residents receiving hospice services [...] - Industry Note:
Double-Check Your Wage Index For 2015 PPS Payment Rates With This New CR
You can check to see whether your home health PPS wage index figures for 2015 [...] - Industry Note:
Mind Sequencing For NOTR Submission Success
You’ll have a hard time making your Notice of Termination/Revocation filing deadline if you lag [...] - Industry Note:
MAC Launches Medical Review Targeted At 2 Nutrition-Related Hospice Groups
Be sure your claims for hospice patients with two nutrition conditions are up to snuff, [...] - Industry Note:
Multi-State Chain Grows On West Coast
The Ensign Group has expanded its presence in Southern California. The Mission Viejo, Calif.-based post-acute [...] - Industry Note:
Jury Slaps Boston-Area HHA Owner With Guilty Verdict For Medicare Fraud
A jury has convicted At Home VNA owner Michael Galatis on multiple counts of fraud [...]
