Home Health & Hospice Week
Industry Notes:
PECOS-Related Claims Glitch Persists
Published on Fri Sep 05, 2014
You’ll have to wait a while longer for a fix to a PECOS-related claims system glitch.
The problem: “Some home health claims are receiving reason code 37236 and 37237 incorrectly,” Medicare Administrative Contractor CGS says on its website. “This issue is associated with a PECOS file error, and affects all Medicare Admini-strative Contractors (MACs) who process home health claims.”
Agencies will have to stand by for a resolution to the problem. Until then, affected claims will continue to suspend. At CGS, they suspend to location S MPCOS.
Other Articles in this issue of
Home Health & Hospice Week
- Regulations:
HHAs Wait For Final OASIS-C1 Documents
CAHPS, PECOS problems also addressed in Open Door Forum. CMS already has commenced its training [...] - Diagnosis Coding:
Strike Nearly 40 Dx Codes Off Your List For Hospice Claims
Debility, Adult Failure To Thrive, Dementia codes and more will get your claim kicked back [...] - Reimbursement:
Get NOE-Related Billing Straight Or Risk RTPs
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Get Familiar With New Hospice Cost Report This Fall -- Unless You Are Provider-Based
CAHPS requirements also addressed in Open Door Forum. Hospices will need to get used to [...] - Human Relations:
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Get your ‘problem employee’ on a new behavioral track with clear, strong communication that keeps [...] - Industry Notes:
MAC Targets More Therapy Claims For Review
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Keep Up F2F Efforts
Don’t slack off on face-to-face encoun-ter requirements just because the F2F physician narrative is proposed [...] - Industry Notes:
PECOS-Related Claims Glitch Persists
You’ll have to wait a while longer for a fix to a PECOS-related claims system [...] - Industry Notes:
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Don’t let email confusion lead to a HIPAA breach. Question: I understand that a patient [...]
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