Home Health & Hospice Week
Industry Note:
Quick Quiz: Can You Appeal A Rejected Claim? Find Out Here
Published on Fri Aug 02, 2013
If you’re not quite sure when to appeal a Medicare claim, you’re not alone. HHH Medicare Administrative Contractor CGS "has seen an in-crease in appeal requests for claims that cannot be appealed," it says on its website.
Tip: "To appeal a claim, it must be denied (status/location D B9997) or partially denied (P B9997)," CGS explains. "Rejected claims (R B9997) cannot be appealed."
More information on appeals is on a new CGS web page, "Determining Appropriate Appeal Requests," at www.cgsmedicare.com/hhh/appeals/detappreq.html.
Other Articles in this issue of
Home Health & Hospice Week
- Fraud & Abuse:
CMS Flexes Its Moratorium Muscle With HHAs First
Miami, Chicago hit with freeze on new agencies. Two years after finalizing its power to [...] - Know Your Facts:
Moratorium-Area Home Health Stats Stick Out Like A Sore Thumb
Number of Miami HHAs nearly 2,000% higher than average. The feds are using data mining [...] - Compliance:
2 Moratorium Areas For HHAs May Be Just The Beginning
Is an IPS- - Hospice:
Gear Up For Expanded Data Reporting On Hospice Claims
CMS is laying the groundwork for hospice payment reform. The data you’ll start submitting to [...] - Industry Note:
Get Site Of Service Codes Right Or Risk Claims Delays
Codes required on final claims only. If you haven’t gotten your Q codes right on [...] - Industry Note:
Docs Can Earn Payment For Chronic Care
You can help your referral sources capture extra Medicare reimbursement they’re entitled to for many [...] - Industry Note:
Hospice Closes Inpatient Facility To Trim Budget
You may have to consider some painful budget cutting to survive sequestration and the other [...] - Industry Note:
Senior Medicare Patrol Project Shrinks
Your patients may not be giving you as much scrutiny as in previous years. So [...] - Industry Note:
Quick Quiz: Can You Appeal A Rejected Claim? Find Out Here
If you’re not quite sure when to appeal a Medicare claim, you’re not alone. HHH [...] - Industry Note:
Detroit PT Assistant And HHA Co-Owner Pleads Guilty To Fraud
Detroit-area physical therapy assistant, patient recruiter and HHA owner Syed Shah has pled guilty for [...] - Industry Note:
Handle Sexual Harassment Complaints Properly Or Risk Big Fines
Be careful in handling sexual harassment allegations, or you may end up paying in court. [...] - Industry Note:
Sequestration Reductions Cut Into Chain's Profits
Amedisys Inc. earnings are down, but CEO William Borne says figures would have been worse [...]
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