Home Health & Hospice Week
Know -- And Report -- Facility NPIs When Your Hospice Patients Aren't At Home
If Reason Code 34952 errors are killing your hospice claims, you’re not alone. Medicare Administrative Contractor “CGS has identified reason code 34952 as one of the top Claim Submission Error (CSE) errors,” it says on its website. “The reason code 34952 indicates that a service facility National Provider Identifier (NPI) is required on the claim, but was not reported.”
Do this: For dates of service on or after April 1, 2014, report a service facility NPI when billing any of the following place of service HCPCS codes: Q5003 — hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (NF); Q5004 — hospice care provided in skilled nursing facility (SNF); Q5005 — hospice care provided in inpatient hospital; Q5007 — hospice care provided in long term care hospital (LTCH); and Q5008 — hospice care provided in inpatient psychiatric facility, CGS instructs.
“The service facility NPI must be reported in Loop 2310E (when billing in the 5010 electronic claim format) or the SERV FAC NPI field in the Fiscal Intermediary Standard System (FISS) on Claim Page 03,” CGS explains.
Home Health & Hospice Week
- Face-To-Face:
MAC To Require F2F For Every HHA Claim Reviewed
Warning: Other two contractors probably aren’t far behind. Scrutiny of your face-to-face documentation won’t [...] - OASIS:
Use This CMS Guidance To Support F2F Documentation
With all eyes on your F2F documentation, go the extra mile to ensure compliance. [...] - Hospice:
CMS To Include Sequestration In Hospice Cap Calculation -- But Not Right Away
Class action lawsuit waits in the wings. Hospices are getting a breather on being [...] - Reimbursement:
Use Newly Released Tools To Hit Your Hospice Cap Deadline
Follow these 8 pointers to ease your transition to self-reporting. You’ve got a few [...] - Industry Notes:
MAC Targets Therapy Usage In Medical Review
Be prepared to defend low clinical, functional domain scores. Wondering what will land you on [...] - Industry Notes:
Know -- And Report -- Facility NPIs When Your Hospice Patients Aren't At Home
If Reason Code 34952 errors are killing your hospice claims, you’re not alone. Medicare Administrative [...] - Industry Notes:
Give CMS Feedback On F2F Physician Form
If you want to find out more about the face-to-face physician documentation template CMS has [...] - Industry Notes:
Update Your CBSA Codes For Transition Year Or Face Returned Claims
Your claims with outdated CBSA codes may be slipping by now, but soon they’ll come [...] - Industry Notes:
Pittsburgh Hospice COO Faces Medicare Fraud Charges
The chief operations officer for a Pittsburgh hospice faces Medicare fraud charges, according to a [...] - Industry Notes:
Federal Judge Sentences Boston Hospice Owner To More Than 7 Years In Prison
HHA owner Michael Galatis has been sentenced to more than seven years in prison following [...] - Industry Notes:
LHC Partners With Missouri Hospital On Joint Venture
LHC Group Inc. has entered into a home health joint venture with Missouri Delta Medical [...] - Industry Notes:
Almost Family Acquires NY-Based Chain, Expands Private Duty Line
Almost Family Inc. has agreed to purchase WillCare HealthCare based in Buffalo, N.Y. WillCare has [...]
