Home Health & Hospice Week

And make sure you’re set for artificial dates.

Come Jan. 1, it’s time to say good-bye to the no-pay RAP and hello to home health Notices of Admission — but you may need to do a little research to make sure that’s universal.

Why? “The billing guidelines for the NOA apply to Original Medicare,” the Centers for Medicare & Medicaid Services says in an NOA Frequently Asked Question set. “The HHA will need to contact any Medicare Advantage (MA) plans or other insurance plans to which the HHA submits claims to find out the details of their billing requirements,” says the FAQ set posted on HHH Medicare Administrative Contractor Palmetto GBA’s site.

Managed care billing isn’t the only tricky thing about the transition to NOAs. Failing to get the artificial date for NOAs right may mean submission delays and lost reimbursement (see HCW, Vol. XXX, No. 45).

Resource: The 31-question FAQ set is at https://palmettogba.com/palmetto/providers.nsf/files/Home_Health_Notice_of_Admission_NOA_Frequently_Asked_ Questions_FAQ.pdf/$FILE/Home_Health_Notice_of_ Admission_NOA_Frequently_Asked_Questions_FAQ.pdf.