Home Health & Hospice Week

Industry Notes:

LUPA Error Fix On Deck

You can expect relief from a few longstanding claims glitches soon, pledges one HHH Medicare Administrative Contractor.

Issue #1: “Certain claims that would be eligible to be paid LUPA add-on amounts are not receiving the add-on payment” continues to be a problem, even though MAC CGS had hoped a May systems correction would fix the error. “A follow-up release to resolve this issue is scheduled for July,” CGS says in a recent post to its website.

Issue #2: Some home health claims with dates of service on or after Oct. 1, 2013, have been paid and/or reported incorrectly. CGS has been holding claims for dates of service on or after October 1, 2013, with reason code V8030, and Value Code 64 and/or 17 until a resolution is implemented. That fix is now scheduled for mid-August, CGS says in a new post.

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