Home Health & Hospice Week
Know What To Include In Your ADR Response
How much is too much, not enough or just right? One Medicare Administrative Contract-or hopes you know so it will make its job easier.
When you receive an Additional Develop-ment Request (ADR), “please send all relevant documentation related to the service in question, and send only the relevant documentation,” MAC CGS says in a website post. “Submitting the entire patient chart may delay the review process, which will also delay the processing of your claim.”
“Many requests will specify exactly what documentation is being requested, or for repeat requests, what documentation was missing from the initial submission,” CGS says. “As the medical rec-ord is being reviewed, CGS is looking for evidence that supports the service submitted on the claim as well as the medical necessity for the services.”
Home Health & Hospice Week
- Regulations:
Direct Your F2F Information To The Correct Physician
OASIS-C1, COPs, Value-Based Purchasing also addressed in Open Door Forum. You can finally give physicians [...] - Hospice:
Cap Calculations Will Include Sequestration Dollars Medicare Never Paid You
Overpayments will be based on reimbursement you never received, CMS confirms. Hospices skirting their per [...] - Hospice:
Hundreds Of Hospices Lag On HIS Submission
NOE billing, CAHPS also addressed in Open Door Forum. You’d better get on the stick [...] - Reimbursement:
How It Works: Notice Of Election Billing
For a reminder on how you can qualify for an exception to the five-day Notice [...] - HIPAA:
Give Your HIPAA Policies A Tune-Up In Light Of Same-Sex Marriage Guidance
OCR augments the definitions of spouse, marriage, and family member. The U.S. Supreme Court ruled [...] - Diagnosis Coding:
Use 3 ICD-10 Answers To Prepare For New Coding System
Hint: Forget everything you know about ICD-9’s ‘excludes’ codes when coding diabetes. With the ICD-10 [...] - Industry Notes:
OIG Keeps Pressure On Home Health, Hospice
Watchdog agency touts F2F as fraud prevention measure. Don’t expect to say goodbye to the [...] - Industry Notes:
You Won't See New Hospitalization Data In Jan
Watch for the next Home Health Com-pare update in the New Year. The Centers for [...] - Industry Notes:
Comply With Owner Fingerprint Requests ASAP
If you get a request from Medicare asking for a fingerprint background check for owners, [...] - Industry Notes:
Therapy Caps Nudge Up $20 In New Year
Starting Jan. 1, you’ll have a little bit more room under the therapy cap, if [...] - Industry Notes:
Check Out Revamped Home Oxygen Safety Goal
You can now download the Joint Com-mission’s National Patient Safety Goals for home care that [...] - Industry Notes:
Know What To Include In Your ADR Response
How much is too much, not enough or just right? One Medicare Administrative Contract-or hopes [...] - Industry Notes:
Tap New Diabetes Guidelines From NIH
Your patients with diabetes may benefit from new guidance from the NIH. The National In-stitute [...]
