Home Health & Hospice Week
Solution To U5210/U5220 Glitch Finally In Place, MAC Says
Home health agencies can take action on those claims derailed by a recent Notice of Admission glitch. The problem: “Some home health NOAs and claims were incorrectly hitting reason codes U5210 and U5220,” HHH Medicare Administrative Contractor National Government Services explains on its website. “These reason codes state there is no Medicare entitlement for the dates of service when the beneficiary only has Part B eligibility for the dates of service submitted.” (See more details in HHHW by AAPC, Vol. XXXII, No. 7.) The solution: “This issue has been resolved as of 3/6/2023. Providers may resubmit any NOAs and claims that incorrectly rejected for U5210/U5220,” NGS says in the March 23 post to its site. “If this issue has caused untimely submission of the NOA, providers may request a late NOA exception on the corresponding claim(s) by appending modifier KX to the HIPPS code on the 0023 revenue line and indicate the following in the Remarks field: ‘Late NOA due to U5210/U5220 issue,’” the MAC instructs.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
CMS Digs In On Behavioral Adjustment Cut
Accurate prediction of behavior changes is irrelevant, according to webinar speakers. Home health agencies gave [...] - Know Your Facts:
PDGM Stats Justify Cuts, CMS Webinar Contends
Big swing in impairment levels noted post-PDGM. Ask and ye shall receive, at least when [...] - Billing:
Make Sure Your Claims Are Free Of These PHE-Related Items By May 12
Have you been using DR codes incorrectly? If your billing staff have been adding the [...] - Mergers & Acquisitions:
PE-Backed Midwest Firm Targets Dual Eligible Population
Plus: CVS finalizes $8 billion Signify purchase. Midwest-focused chain PurposeCare has entered the Michigan market [...] - Industry Notes:
Provider Pays To Settle Charges It Failed To Provide An Interpreter
HHS, DOJ will monitor for 18 months. If you’ve been neglecting your duty to furnish [...] - Industry Notes:
VBID Extended Five More Years To 2030
Hospice agencies hoping to see the end of the Medicare Advantage Value-Based Insurance Design carve-in [...] - Industry Notes:
More IAH Benes Used Home Health In 2020, Says Latest Demo Eval
While the Independence at Home (IAH) demon-stration tests home-based primary care, it has an effect [...] - Industry Notes:
OIG Puts Hospices In Yet Another Hot Seat
As if hospices haven’t taken enough heat, a federal watchdog agency has dedicated a new [...] - Industry Notes:
Solution To U5210/U5220 Glitch Finally In Place, MAC Says
Home health agencies can take action on those claims derailed by a recent Notice of [...] - Industry Notes:
Experts Put Their Heads Together To Tackle Workforce Crisis
Home care providers struggling with labor shortages may get some ideas for solutions from a [...] - Industry Notes:
Brush Up On CERT Basics
With the flurry of audits that have hit home health and hospice providers lately, you [...] - Industry Notes:
Don't Overlook CDC COVID Portal
Although the COVID-19 public health emergency is winding down, you can still get vital information [...] - Industry Notes:
Texas HHA Owners Get Years In Prison For Medicare Fraud
Houston is the site of two new home health fraud case developments. Case No. 1: [...] - Industry Notes:
Hospital-At-Home Programs Grow
Hospital at Home initiatives continue to break new ground. Example No. 1: Inbound Health, a [...]
