Home Health & Hospice Week
Industry Note:
New Home Health Agency Claims Edits Based On G-Codes On Deck
Published on Fri Aug 11, 2017
Home health agencies have more claims edits to look forward to. In addition to Value-Based Purchasing changes to the claims system (see story, p. 222), CR 10167 also contains revisions for Gcode editing. To make home health and hospice claims processing more consistent, CR 6440 created edits on hospice claims to ensure that G-codes for service visits are reported with the corresponding revenue code for the service discipline, CMS says in the MLN Matters article for the transmittal. “Similar editing does not exist for HH claims, even though the same G-codes and revenue codes are required. The requirements of CR 10167 create these edits for HH claims,” the article notes.
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