Home Health & Hospice Week
Sidestep This Little Known HIPAA Claims Mistake
Be sure the "Total Charges" field on your claims is filled out, or you could be risking HIPAA violations. Old way: "Medicare's instructions since 2000 have stated that the (SV203) field may be zero or blank," CMS explains in a new MLN Matters article based on Dec. 22 Transmittal No. 2374 (CR 7660). New way: "CMS recently discovered that Medicare's instruction regarding the reporting of the Total Charges field on claims is in conflict with the requirements of the HIPAA standard 837 Institutional claim format," the agency explains in the article. "The 837 requires that the Total Charges field (SV203) must always be reported, and that zero is an acceptable value." The transmittal and article also clarify how to demand bill when requests by the state Medicaid program do not correspond to dates of existing episodes of care. The transmittal is at www.cms.gov/transmittals/downloads/R2374CP.pdf and the article is at www.cms.gov/MLNMattersArticles/downloads/MM7660.pdf.
Home Health & Hospice Week
- Regulations:
Beware This Grouper Diagnosis Coding Change
Outlier adjustments, OASIS updates, and more discussed in latest Open Door Forum. You'll have to [...] - Hospice:
Submit Your Hospice Quality Data This Month
OMB approves new reporting form. A sea change in how Medicare will pay for hospice [...] - Fraud & Abuse:
Feds Crank Up Home Care Fraud Busting
Medicare Fraud Strike Force racks up guilty pleas in three cities. It's not just owners [...] - OASIS:
Make Sure You See 20/20 When Assessing M2020
Warning: Your OASIS oral medication management skills may need a tune-up. Improving medication management is [...] - Industry Note:
Watch Out For This OIG Work Plan Item
Medicaid overpayments could get you in trouble this year. Are you hanging on to a [...] - Industry Note:
Your Part B Patients Can Use Therapy Cap Exceptions A Little Longer
The 27 percent Medicare rate cut for physicians isn't the only thing that got put [...] - HIPAA:
Don't Miss This Important 5010 Deadline
The enforcement date isn't the only deadline you have to worry about. If you haven't [...] - Industry Note:
Remember Appeals For Incorrect F2F Doc-Related Denials
Don't forget to file for reopenings when your HHH MAC erroneously denied your claim for [...] - Industry Note:
Sidestep This Little Known HIPAA Claims Mistake
Be sure the "Total Charges" field on your claims is filled out, or you could [...] - Industry Note:
Hit Handwashing Hygiene Education This Winter
Use the CDC's oldie but goodie on handwashing hygiene to help keep your staff -- and [...] - Industry Note:
Do This When Adjusting Claims With Denied Lines
Don't risk further delays to your cash flow by mucking up your claims adjustments. "The [...] - Industry Note:
Check Out ICD-10 Updates, Including ICD-9 Duplications
You may not be familiar with the ICD-10 code set yet, but it continues to [...] - Industry Note:
7-State Chain Makes Tarheel State Acquisition
Augusta, Ga.-based CareSouth Health System Inc. has purchased the home health agency of the Rutherford [...] - Industry Note:
Law Firms File Shareholder Lawsuits Against VITAS
Fresh on the heels of the unsealed whistleblower lawsuit against AseraCare Hospice, law firms are [...]
