Home Health & Hospice Week
System Glitch Hangs Up All Claims For Some Agencies
Watch our for 32103 claims suspensions. Cash flow has come to a halt for some providers, thanks to a National Provider Identifier claims system error, HHH Medicare Administrative Contractors report. “Certain providers are receiving reason code 32103 for all their claims, having DDE access issues and claim DCNs getting assigned the suffix of XXX,” MAC Palmetto GBA says in a message to providers. “This is due to a Medicare crosswalk issue.” On the erroneously returned claims, “the NPI/Oscar number pair is not present in the Medicare NPI crosswalk file,” MAC National Government Services adds. “This edit applies to the NPI number associated with the Oscar number.” Other reason codes are involved in the problem as well, MAC CGS says. “Other MACs are experiencing the same issue,” Palmetto adds. Palmetto has chosen to suspend the claims rather than have them return in error, it says. “NGS is currently reviewing the situation and will have a solution soon,” the MAC pledges.
Home Health & Hospice Week
- Reimbursement:
Beware This CHOW Billing Change
You’ll need a good relationship with the seller or buyer under a new restriction. If [...] - Reader Question:
Make Sure You Document Your HIQH Search For Transfers
Are you reporting the right point of origin code? Question: What steps do I need [...] - Hospice:
Know Your Facts: Medicare Now Monitoring Lifetime LOS
Some of the stats CMS cites in the 2018 proposed payment rule may surprise you. [...] - Human Resources:
Don't Make These Mistakes With Your Millennial Employees
You need to figure out the new workforce generation. The percentage of your workers that [...] - HIPAA:
Pinpoint Your HIPAA Weaknesses — Before Violations Result In A Breach
Small providers don't get any HIPAA favors. Chances are increasing that if you have IT [...] - Industry Note:
System Glitch Hangs Up All Claims For Some Agencies
Watch our for 32103 claims suspensions. Cash flow has come to a halt for some [...] - Industry Note:
Know Which Therapy Modifier To Report For Your NPWT Claims
If you’re confused about the new NPWT billing rules, a new educational tool from a [...] - Industry Note:
Give Medicare An Earful About Risk Adjustment
Have an opinion on whether CMS should use social risk factors to adjust its hospice [...] - Industry Note:
Benchmark Your Non-Cancer LOS Stats With Free Report
Check out whether your length of stay numbers are making you stick out like a [...] - Industry Note:
PEPPER Helps HHA Curb Red Flag Utilization
If your home health agency has a high number of episodes compared to your peers, [...] - Industry Note:
Regional Chain Makes Washington State Buy
The Ensign Group Inc., through its home health Cornerstone Healthcare Inc. unit, is entering the [...] - Industry Note:
New Jersey Health Systems Merge Agencies
Hackensack Meridian Health and St. Joseph’s Healthcare System in New Jersey are combining their systems’ [...] - Industry Note:
4 Physicians Convicted In New Orleans HH Fraud Case
A month-long trial has resulted in six guilty convictions related to the fraud case against [...]
