Home Health & Hospice Week

Industry Notes:

Learn About This New DDE Home Health Screen

Expect some changes to DDE screens starting July 6, including a new home health screen.

"Home health providers can now view OASIS items used to determine the PDGM payment group on MAP 171G,” explains HHH Medicare Administrative Contractor CGS in a new post to its website. “Access this screen by going to Claim Page 03 and press F11 until MAP 171G displays,” the MAC instructs.

“There are 8 OASIS items that will be sent back to the claims system and displayed in the OA (OASIS Assessment) field. The OA field information will never be changed,” CGS continues. “The MR (Medical Review) field will be used by the CGS Medical Review staff to enter corrections when, based on their review of the full medical record, they find OASIS data is not supported.”

The new screen “allows providers to easily access the data used to calculate the payment groups,” CGS says in its updated Home Health & Hospice Inquiry Menu FISS DDE Guide at www.cgsmedicare.com/hhh/education/materials/pdf/chapter_3-inquiry_menu.pdf — info about the new screen is on pp. 75-76 of the guide.

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