Home Health & Hospice Week
Industry Note:
Use New Claims Format Or Face Denials
Published on Fri Mar 16, 2012
It's no joke -- effective on April Fool's Day, your Medicare claims must be in the new HIPAA-compliant 5010 format. The "vast majority" of provider claims already are being sent to Medicare in 5010 format, CMS says in an e-mail to providers. "Given these favorable results, we are taking the next step towards full implementation of 5010 in Medicare Fee-For-Service." What that means: If you submit a claim in the old 4010 format after March 31, your Medicare contractor will return it as unprocessable. "Failure to submit 5010 formatting will result in your claim being unpaid/denied," CMS stresses.
Other Articles in this issue of
Home Health & Hospice Week
- Referrals:
Beware Reliance On One Referral Source
Beefed up enforcement is your new reality. You may be thrilled to have one physician [...] - Compliance:
Take 10 Steps To Avoid Referral-Related Compliance Landmines
Tip: Make sure compliance training isn't just for staff orientation. The 78 home health agencies [...] - Fraud & Abuse:
OIG Gives Home Health Coverage An 'A,' But Fraud Pilot Still On Deck
Only 2 percent of reviewed claims fail OIG's coverage test. A new federal report on [...] - Enforcement:
Lawmaker Calls For More Fraud Fighting In Home Health
CMS allows "rampant criminality" in Medicare, district attorney in Texas says. The repercussions of Medicare [...] - Industry Note:
Skip These Unnecessary Hospice ABNs
HHH MAC clarifies your notice requirements relating to missing face-to-face encounters. Wondering what notice you [...] - Industry Note:
Use New Claims Format Or Face Denials
It's no joke -- effective on April Fool's Day, your Medicare claims must be in the [...] - Industry Note:
Clear Up This Question About Allowing Additional Visits
If you're not sure how specific the physician's order needs to be to allow additional [...] - Industry Note:
Docs' Full NPIs To Appear In PECOS Reports
You may now find it a bit easier to figure out if your referring physicians [...] - Industry Note:
Revamped MSN Encourages Bene Fraud Reporting
Home care providers have long complained of Medicare's Medicare Summary Notices (MSNs) confusing beneficiaries. Now [...] - Industry Note:
NLRB Says You Must Post Union Information
Don't forget to comply with a new National Labor Relations Board rule requiring employers to [...] - Industry Note:
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You might want to give your diabetes patients a heads up that a new scam [...] - Industry Note:
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If you aren't building a program showing insurers that your services can save money through [...] - Industry Note:
HHA Owners, Docs, RNs Indicted In Chicago
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