Home Health & Hospice Week
Keep Tabs On Growing List Of Claims Glitches
The laundry list of claims payment glitches continues to grow. Case in point: "Claims that span from 2009-2010 are editing incorrectly for timeliness with reason code 39011," HHH MAC Palmetto GBA reports on its website. That applies to HHH claims with bill type 11X. You'll have to wait until March 7 for a fix for this problem, Palmetto says. "Currently no provider action is necessary." The solution will come a little quicker for reason code 17801 problems, reports National Government Services, the subcontractor for HHH MAC NHIC. Under that error, home heath/hospice claims are being returned to the provider (RTP) and suspending in error with reason code 17801 because the diagnosis codes are moving over one bit, NGS explains in an e-mail to providers. The problem was thought to be solved on Jan. 20, but it is still present. A new fix is scheduled for Feb. 7, NGS informs providers. And: Hospice claims are editing incorrectly for reason code 31503, Palmetto says. "For type of bill 81X and 82X, the sum of the total units for revenue codes 651, 652, 655 and 656 exceeds the number of billing period days," the HHH MAC explains.
Home Health & Hospice Week
- Therapy:
Tackle Your Biggest Therapy Challenge Under New Requirements: Visit Timing
Therapists must learn to document better in many cases. Don’t let your focus on the [...] - Regulations:
These Therapy Changes To Hit April 1
It's no April Fool's Day joke -- the Centers for Medicare & Medicaid Services finalized a [...] - Compliance:
Count Your Therapy Visits Using These Rules
Warning: Don't count on visit range. Are you confused about when to have therapists conduct [...] - Hospice:
New JAMA Study Indicts For-Profit Hospices
Study highlights fissures within hospice industry. A new article in the Journal of the American [...] - OASIS:
OASIS Manual Update May Change Your Ulcer Coding
Prepare for ulcer coding conflict between OASIS, ICD-9 guidance. Coding for ulcers is never easy, [...] - Industry Notes:
Legislation Aims To Abolish 'Super-MedPAC'
Republicans also target 1099 reporting burden. The only thing standing between you and deep Medicare [...] - Industry Notes:
Tougher Enrollment Processes, Payment Suspensions Finalized.
Get ready for beefed up screening for your Medicare enrollment. The HHS Office of Inspector [...] - Industry Notes:
Don't Bill April 1 Without Face To Face Requirements
If you bill for an episode without all the required face to face encounter documentation, [...] - Industry Notes:
Medicaid Home Care Funding Under Fire In States
Medicaid home care spending is at grave risk in many states as they look for [...] - Industry Notes:
Keep Tabs On Growing List Of Claims Glitches
The laundry list of claims payment glitches continues to grow. Case in point: "Claims that [...] - Industry Notes:
OIG Compliance Training Offers Peek At Feds' View
You may want to hop on an opportunity to prepare for a visit from the [...] - Industry Notes:
Use This New HHH MAC's Number For DDE
Don't forget to use your new contractor number for Palmetto GBA, now that it has [...] - Industry Notes:
AccentCare Gets Ready For More Growth
You can expect more growth from Irvine, Calif.-based AccentCare Inc., which recently acquired Brentwood, Tenn.-based [...]
