Zero in on your claim’s ‘through’ date to pin down your correct reimbursement rate.
Need a little help figuring out how your claims are getting adjusted in the Medicare system in relation to the New Year? A new HHH Medicare Administrative Contractor tool may be just the ticket.
CGS is offering Home Health Quick Resource Tools (QRTs) to help determine how the Fiscal Intermediary Standard System (FISS) modifies the original Health Insurance Prospective Payment System (HIPPS) code submitted on home health final claims, based on the “through” date on or after January 1, 2017, the MAC says. See links to the PDF tools at http://cgsmedicare.com/hhh/pubs/news/2016/1216/cope1598.html.