Home Health & Hospice Week
Expect Fix For HospiceClaims Glitch In April
A fix is finally scheduled for a hospice claims glitch discovered in January. The problem: "In some cases, hospice claims were being returned to providers (RTP'd) in error with reason code 31503," RHHI Cahaba GBA says on its website. "The sum of the total units for revenue codes 651, 652, 655 and 656 exceeds the number of billing period days," HHH MAC Palmetto GBA explains on its website. The solution: CMS has told contractors to hold hospice claims editing with reason code 31503, Cahaba and Palmetto tell providers. A system fix will be installed April 4. After the fix is installed, contractors will release the held claims. But hospices will need to resubmit any claims that were incorrectly RTP'd by this edit, the contractors say.
Home Health & Hospice Week
- Regulations:
HHAs Hit Physician Wall Over F2F Encounters
Docs threaten to cut off home care referrals in face of burdensome new requirements. The [...] - Strategy:
Try These 6 Tips To Tackle Your F2F Challenges
Educate, educate, educate. The face-to-face encounter rule isn't going away, and that means home care [...] - Reimbursement:
MedPAC Urges Congress To Impose Home Health Copay
Advisory body predicts 14.5 percent profit margin for HHAs in 2011. Yet another barrier to [...] - Policy:
MedPAC Recommendations To Congress
In addition to imposing a copayment for home health agency episodes and keeping HHA payment [...] - Compliance:
RAC Bounty Hunters Take Aim At Medicaid Claims
Recent delays give you more time to plan for these audits. If you've been ignoring [...] - Industry Notes:
Intermediary Edit Denies 75% Of Long-Stay Hospice Claims
Make sure your documentation will hold up. Hospices that aren't documenting their long-stay hospice patients' [...] - Industry Notes:
Congress Focuses On Preventing Medicare Fraud
Don't be surprised to see fraud and abuse enforcement ramp up for home care pro-viders. [...] - Industry Notes:
Expect Fix For HospiceClaims Glitch In April
A fix is finally scheduled for a hospice claims glitch discovered in January. The problem: [...] - Industry Notes:
Bill Introduced To Repeal DME Competitive Bidding
DME suppliers are pinning their hopes for a competitive bidding repeal on new legislation. On [...] - Industry Notes:
Medicare System Shorts HHAs 2 Months For Timely Filing
Watch out: Under timely filing rules you may have only 10 months instead of 12 [...] - Industry Notes:
Get Your NPI Questions Answered With New Booklet
Trying to figure out whether it's OK for your locations to have the same NPI? [...] - Industry Notes:
Don't Miss These Crucial CIGNA Takeover Deadlines
Don't miss these crucial deadlines in the Cahaba-to-CIGNA transition, or your Medicare payments will be [...] - Industry Notes:
Home Care Popularity Empties Nursing Homes
The effort to keep seniors in their homes may face some opposition from nursing homes. [...]
