Home Health & Hospice Week
Now's The Time To Put New Transfer Code On Claims
The time has come to say goodbye to source of admission codes B and C. Don't let all the controversy over PECOS lead you to forget a more low-profile billing change taking effect this month -- changes to codes used when patients transfer home health agencies. Back in February, the Centers for Medicare & Medicaid Services set plans to eliminate source of admission codes "B" and "C," CMS said in Feb. 5 Transmittal No. 1904 (CR 6757) (see Eli's HCW, Vol. XIX, No. 7, p. 51). Old way: Code "B" used to represent "transfer from another home health agency" and code "C" indicated "readmission to the same home health agency." Both codes triggered a partial episode payment adjustment (PEP). New way: HHAs must use new condition code "47" instead of code "B." Code "47" will indicate "the patient was admitted to this home health agency as a transfer from another home health agency," according to CMS Transmittal No. 1917 (CR 6801), updated by March 9 Transmittal No. 1929. HHAs won't use any special coding for situations where they currently use code "C," CMS instructs in the transmittals. The new rules apply to any claims with a "From" date of July 1 or later, says regional home health intermediary Cahaba GBA online at www.cahabagba.com/rhhi/news/20100623_hhpps.htm.
Home Health & Hospice Week
- Enrollment:
PECOS Deadline Sparks Industry Uproar
Implementation date confusion for the referring physician requirement is widespread. You'll risk non-payment and even [...] - Compliance:
Take These Steps To Head Off PECOS Disaster
You might have to discharge 40% of your patients. If the feds persist in enforcing [...] - Clip And Save:
PECOS Physician-Check Protocol
Use this simple checklist from Astrid Medical Services to see whether your referring physicians are [...] - Tools:
Use This Sample Letter To Tackle Your PECOS Problems
Don't delay in addressing this pressing billing and compliance issue. Customize this sample letter to [...] - Reimbursement:
Optimize Your Billers' Efficiency With 3 Tips
Be proactive -- not reactive -- to accounts receivable changes. Many billing changes have hit home care [...] - HIPAA:
New 5010 Form Requirements Hit In 2011
ICD-10 implementation will start with this claim form change. ICD-10 implementation may not come until [...] - Industry Notes:
Now's The Time To Put New Transfer Code On Claims
The time has come to say goodbye to source of admission codes B and C. [...] - Industry Notes:
For once, home health agencies are
For once, home health agencies are catching a break on a claims payment error. Back [...] - Industry Notes:
Congress finally passed a so-called "doc fix" bill,
Congress finally passed a so-called "doc fix" bill, a week after Medicare contractors started processing [...] - Industry Notes:
Durable medical equipment suppliers
Durable medical equipment suppliers see lots of payment changes in the latest physician payment rule [...] - Industry Notes:
When RAC reviews hit home health
When RAC reviews hit home health agencies and hospices, you'd better keep your appeals skills [...] - Industry Notes:
At press time, home care providers in
At press time, home care providers in the Gulf Coast were readying their disaster plans [...] - Industry Notes:
A small claims processing glitch has finally been resolved
A small claims processing glitch has finally been resolved after more than a year. From [...] - Industry Notes:
DME suppliers are having to fight more
DME suppliers are having to fight more backlash thanks to fraudsters. In Indiana, individuals claiming [...] - Industry Notes:
Nine out of 10 Medicare beneficiaries'
Nine out of 10 Medicare beneficiaries' deaths are associated with chronic illness, and most people [...]
