Home Health & Hospice Week

You might get a little pay bump this month, if your claims have been affected by two systems glitches.

Problem: Claims with HIPPS codes beginning with 3AGP are receiving an incorrect case-mix weight that results in underpayment,” HHH Medi-care Administrative Contractor CGS says on its website. “Also, certain claims that would be eligible to be paid [LUPA] add-on amounts are not receiving the add-on payment. These errors affect only home health claims with ‘Through’ dates on or after January 1, 2014.”

Solution: “CMS expects Medicare systems to be corrected by May 12, 2014,” CGS continues. “Home health agencies do not need to take any action. Medicare Administrative Contractors will adjust the claims to correct payments.”