Home Health & Hospice Week
Transfer Denials May Rise
Checking the Common Working File for a patient's Medicare history is more important than ever under a new clarification from HHH MAC CGS. CMS issued a transmittal in May requiring HHAs to furnish transfer notifications to any patient who's had a home health episode within the 60 days prior to the current agency's start of care date, CGS explains on its website. Therefore, "CGS will now review the beneficiary's episode history when making this determination" of which agency is the primary one in a disputed transfer, the MAC explains. "If a beneficiary was receiving home health services from another HHA within 60 days of the second HHA's episode start date, CGS will review the patient status code submitted on the first HHA's episode when there is a dispute as to which HHA is the primary agency. If the patient status code indicates that the beneficiary was still a patient of the first HHA, the second HHA will need to produce documentation indicating the beneficiary transferred to their HHA in order for their episode to stand." Transfer documentation requirements, transfer billing processes, and additional resources are on CGS' Beneficiary Elected Home Health Transfer web page at www.cgsmedicare.com/hhh/education/materials/hh_transfer.html.
Home Health & Hospice Week
- Reimbursement:
Use These 10 Vital Tips For Billing Success
Do your billers' job descriptions really match what they're doing? With your Medicare margins getting [...] - Information Technology:
Don't Let Your Cash Posting Procedures Open The Door To Losses
Research every adjusted claim for accuracy, expert urges. If you let your billing software do [...] - Billing:
Keep Your Billing On Track With These Crucial Benchmarks
You should run this vital billing report weekly. Home health agencies that fail to keep [...] - Enrollment:
Avoid These Revalidation Goblins
Tip: Failing to send in your CHOW information ASAP could haunt you. CMS and its [...] - Diagnosis Coding:
Prepare for ICD-10 Conversion With 2 Simple Steps
Know your anatomy and physiology if you want a quick transition. It's not too early [...] - Industry Note:
HHAs Get Answers To Therapy Reassessment Questions
Should you bill with no assessment? Although Medicare's therapy reassessment requirement went into effect back [...] - Industry Note:
CMS Falls Down On Reinstatement Hearings
Expect hearings over Medicare suspensions to get tougher in the wake of an Associated Press [...] - Industry Note:
Missing Hospice F2F Is Your Responsibility
You are on the hook to provide free care if your hospice patients' face-to-face requirement [...] - Industry Note:
Plan On Adjustments For Flu Vaccine Claims
Pay attention to your claims for flu vaccinations, or you may be losing Medicare reimbursement [...] - Industry Note:
RN Pay Rises In 2011
If you didn't increase your nursing salaries in 2011, you're out of step with the [...] - Industry Note:
Hospice Discharge Planning Required Without Pay
Medicare may not pay for discharge planning when a hospice patient is no longer terminally [...] - Industry Note:
Transfer Denials May Rise
Checking the Common Working File for a patient's Medicare history is more important than ever [...] - Industry Note:
More HIPAA Audits On Deck, Lawyers Warn
Get ready for OCR to roll with serious HIPAA audits. The HHS Office for Civil [...] - Industry Note:
Hospice Owner Indicted
Hospices aren't immune from the feds' crackdown on Medicare fraudsters. Matthew Kol-odesh, owner of Home [...] - Industry Note:
Show-Me State Provider Settles Fraud Charges For $600K
Delmar Gardens Private Services in Chesterfield, Mo. has settled Medicaid fraud charges for nearly $600,000, [...]
