Home Health & Hospice Week

Don’t expect your MAC to let you off the hook for NOE filing deadlines based on a transmittal revision date.

The requirement to file the Notice of Election within five days of election took effect Oct. 1, 2014, stresses HHH Medicare Administrative Contractor CGS in a recent post on its website. “Some provider documentation being submitted with exception requests include a copy of Section 20.1.1 of the Centers for Medicare & Medicaid Services (CMS) Pub. 100-04, Ch. 11. Section 20.1.1 of that manual currently shows (in red font), ‘(Rev. 3118, Issued: 11-16-14, Effective: 10-01-14, Implementation: 04-06-15)’. The provider documentation implies that their claim was before the 04-06-15 implementation date and therefore does not apply to the CR 8877 timely NOE requirements,” CGS says.

“Please note that the Rev. 3118 (the Transmittal number) is not related to the requirements in CR 8877; therefore, in this case the exception request is denied,” the MAC explains.