Home Health & Hospice Week

Industry Note:

Yet More RHC Payment Errors Revealed

Many hospices are not surprised to see a recent Medicare message about Routine Home Care payment inaccuracies.

“On July 2, 2018, CMS changed Medicare’s claims processing systems to better identify prior hospice days when calculating hospice routine home care payments after a transfer,” the Centers for Medicare & Medicaid Services says. “This process is not working correctly, resulting in underpayment for these claims. CMS will fix this issue on October 7. Do this: “Until October 7, do not submit adjustments when there is a transfer within the benefit period,” CMS instructs. Then, “beginning October 7 or after, resume submitting adjustments.”

What if the dates of service are beyond the timely filling period by Oct. 7? “Submit a reopening request using Type of Bill 8XQ,” CMS advises.

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