Home Health & Hospice Week
Secure Your Rightful Pay For Claims Returned Due To Entitlement Data Glitch
Don’t miss out on reimbursement because you fail to resubmit claims that were incorrectly rejected due to a recent glitch. The problem: “Due to processing issues at the Enrollment Database (EDB), entitlement data sent for new and/or updated beneficiaries processed at the Common Working File (CWF) between October 7, 2019 and October 9, 2019 posted with blank/ZERO entitlement dates causing some claims to reject with reason code U5200,” HHH Medicare Administrative Contractor CGS explains on its website. The solution: The problem is fixed, but the MACs won’t automatically reprocess incorrectly rejected claims. “Resubmit impacted claims rejected with reason code U5200, after verifying that the beneficiary was eligible on the date of service and the reason code was assigned incorrectly,” HHH MAC National Government Services says in a message to providers.
Home Health & Hospice Week
- Review Choice Demonstration:
Industry Cheers Surprise Review Choice Demo Delay
CMS listens to reason just weeks after setting burdensome start date. You may be getting [...] - Medical Review:
RCD Isn't Going Away
When will the medical review program go nationwide — if ever? If you think the [...] - Quality:
CMS Wants To Add New OASIS Items, Health Info Transfer Measures
Commenters push back on OASIS burden. If the mountain of new SPADE elements proposed for [...] - OASIS:
Check Out The Details For New Info Transfer OASIS Items
Start looking ahead to OASIS-E. You may be worry about the transition to OASIS-D1 in [...] - Industry Note:
Don't Get Tricked By Home Office Cost Statement Switch This Month
You still have a few weeks to submit comments. If you submit a home office [...] - Industry Note:
Official Data Specs For OASIS-D1 Still Not Out
The OASIS-D1 tool is out, but the data specifications have yet to be released. Keep [...] - Industry Note:
Secure Your Rightful Pay For Claims Returned Due To Entitlement Data Glitch
Don’t miss out on reimbursement because you fail to resubmit claims that were incorrectly rejected [...] - Industry Note:
AIC Threshold To Rise
The amount in controversy (AIC) thresh- old amounts for Administrative Law Judge hearings and judicial [...] - Industry Note:
An 'Unusual Pairing' Results In Blockbuster Sale
Private equity firm Towerbrook Capital Health and health system Ascension Health have combined forces to [...] - Industry Note:
NC Hospices Merge
In North Carolina, Hospice of the Piedmont in Asheboro and Hospice of Randolph in High [...] - Industry Note:
New York Acquisition Moves Forward
Spring Valley, New York-based Marquis Home Care’s $1.5 million acquisition of Albany, New York-based Living [...] - Industry Note:
5 Rural HHAs To Pay Millions After Therapy Stats Triggered Scrutiny
Don’t ignore warnings that your billing statistics are sticking out like a sore thumb. Five [...]
