Home Health & Hospice Week
Troubleshoot 31503 Claim Returns With This New Tool
You can tap a new tool from HHH MAC CGS to help with a common hospice claim error. Problem: "Hospice claims are often sent to the Return to Provider (RTP) file with reason code 31503 when the total units on the level of care lines do not equal the number of days in the billing period," CGS notes in an e-mail to providers. Solution: "Ensure the total the number of days (i.e. units) for the level of care lines equals the number of days indicated by the FROM and TO date on the claim," CGS advises on a new website page aiming to help hospices resolve the problem. Tip: For continuous home care, each 0652 revenue code line is equivalent to one day of care, regardless of the units billed on the 0652 line.- Examples of how to count the days and units are on CGS's page at www.cgsmedicare.com/hhh/education/materials/31503.html.
Home Health & Hospice Week
- Fraud & Abuse:
6 Tips To Handle Patients From Troubled Referral Sources
CMS releases list of 78 HHAs suspended. It could be your worst nightmare: A referral [...] - Budget:
Copay Pressure Increases, Thanks To MedPAC Report
The home care industry's high profit margins grab national attention. Home health agencies' chances of [...] - Therapy:
Use OASIS To Turbocharge Your Therapy Documentation
These M0 items can help beef up clinical records in case of medical review. Your [...] - Utilization:
If You're Located In One Of The Places On This List, Expect Extra Scrutiny
Texas leads the pack with 11 of the 25 highest utilization counties. The Medicare Payment [...] - Industry Note:
Providers Get Another 3-Month 5010 Delay
Expect more technical assistance with the new claim format. Right after confirming that implementation of [...] - Industry Note:
CMS Sets April Dates For Hospice Quality Reporting Training
Mark your calendars for a free opportunity to find out about Medicare's hospice quality reporting [...] - Industry Note:
23 Organizations Added To Community Transitions Project
CMS is putting more money where its mouth is when it comes to preventing unnecessary [...] - Industry Note:
Appeals Results Bring Down CERT Error Rates, OIG Says In New Report
The Medicare program's payment error rate may not be quite as bad as it first [...] - Industry Note:
Beware Form 1099 Problems At Tax Time
With the April 17 deadline for filing federal taxes coming up, it may be time [...] - Industry Note:
Neglect CAHPS Participation At Your Financial Peril
Unless you want to receive 2 percent less in Medicare payments in 2014, you'd better [...] - Industry Note:
Troubleshoot 31503 Claim Returns With This New Tool
You can tap a new tool from HHH MAC CGS to help with a common [...] - Industry Note:
Hospital Launches Own Home Health Agency
You might want to improve your response time to referrals, or face increased competition. Case [...] - Industry Note:
Tarheel State To See New Hospice Facility
The number of inpatient hospice facilities continues to grow. In Newport, N.C., the state has [...] - Industry Note:
Code Nonroutine Supplies Accurately Or Risk PPS Rates
Policymakers soon will begin the process of "rebasing" PPS rates. Will you get enough credit [...]
