Home Health & Hospice Week

Intermediaries are on the case, they say. If you've been seeing claims problems this month, you're not alone. Regional home health intermediaries Palmetto GBA, Cahaba GBA, and National Government Services have reported incorrect claims payments due to the July claims system update. The problem: "Home health claims and adjustments where the original or adjustment amount ended in zeroes were truncated and the zeroes were dropped from the payment calculation," Palmetto explains on its Web site. "This has resulted in underpayments and some overpayments on claims processing ... on or after July 9." "The claim detail of these claims was correct within the remit," NGS says on its site. "However, the payment difference will appear in the 'adjust to balance' field." The solution: The claims system problem has been fixed already, Cahaba reports, so future claims will pay correctly. The RHHIs are working on a process to issue owed payments to providers. [...]