Home Health & Hospice Week
Use This Workaround To Sidestep Hospice NOE Glitch
The good news is one nagging hospice claims system error is resolved. Top on the list of hospices' claims submission problems is a glitch with hospice notices of election (NOEs). The problem: "On Notice of Elections(NOEs) (type of bill 82A or 81A), hospice providers are not able to access the NPI field for the OTH PHYS line on the FISS Claim Page 03," regional home health intermediary Cahaba GBA says on its website. "Hospice notices of election (NOE) transactions require the attending physician and the OTH physician," explains HHH MAC subcontractor National Government Services in an e-mail to providers. "Therefore, NOEs are rejecting with reason code E9351." The solution: Eventually a system fix will resolve the problem. In the meantime, NGS advises its providers to sit tight. But HHH MAC Palmetto GBA offers this stopgap solution: "The approved workaround is for providers to leave the 'OTH PHYS' NPI field blank." Hospices are seeing another persistent claims problem. "Some hospice claims are receiving reason code U5181 incorrectly when the occurrence code 27 and date are reported when they are not required," Cahaba reports on its website. Such claims are being returned to provider (RTP'd). There is some good claims news, however. The fix for hospice claims RTP'ing with reason code 31503 in error worked. That code was supposed to indicate that the sum of the total units for revenue codes 651, 652, 655 and 656 exceeded the number of billing period days. "Hospice providers may resubmit claims that have been ... RTP'd in error for reason code 31503 for reprocessing after verifying that the units reported on the claim are correct," Palmetto says.
Home Health & Hospice Week
- Therapy:
Use These New Manual Rules To Count Your Therapy Reassessments Correctly
CMS addresses therapy questions in latest Open Door Forum. Want to take a gamble on [...] - Regulations:
HHAs Get F2F Answers In Latest Medicare Forum
Clarifications to face-to-face questions contain good and bad news. Enforcement of the physician face-to-face encounter [...] - OASIS:
Jettison M1012 From Your OASIS Worry List
Plus: Watch for OASIS-C-based reports and outcomes to go public this summer. You now have [...] - Contractors:
Pay Attention To This Deadline Or Risk Your Cash Flow
Cahaba-to-CIGNA contractor transition has nationwide impact. AMay 6 deadline could stop your cash flow, even [...] - Diagnosis Coding:
This Tip Gets You Closer to ICD-10 Compliance
Hint: Dig deep for specifics like unilateral, bilateral, and post-traumatic. You're going to have to [...] - Industry Notes:
Use This Workaround To Sidestep Hospice NOE Glitch
The good news is one nagging hospice claims system error is resolved. Top on the [...] - Industry Notes:
Outlier Claims Snafu Trips Up HHA Payments
HHAs are having trouble with some claims payment issues as well. For example: Agencies are [...] - Industry Notes:
New Medicaid Projects Target Dual Eligibles, Olmstead Compliance
A few new Medicaid initiatives could benefit home care providers. A new program required by [...] - Industry Notes:
Fuel Prices Stress Home Care Providers
Gas prices are up nearly a dollar per gallon compared to a year ago, and [...] - Industry Notes:
Say Goodbye To Extra 1099 Reporting For Sure
On April 14, President Obama signed into law legislation removing the extra 1099 tax reporting [...] - Industry Notes:
You Can Soon Take Your Pick On Hospice Cap Calculation
You may soon have a choice about how your hospice cap is calculated. So says [...] - Industry Notes:
Consider These Wrinkles When Joining ACOs
Get ready to rev up your marketing machine as your local hospitals and physician groups [...] - Industry Notes:
New Alzheimers Diagnostic Guidelines Out After 27 Years
You may see some changes in how your patients with cognitive impairment are diagnosed, based [...] - Industry Notes:
Hospital Pay Proposal Could Boost Home Care Alliances
Hospitals' latest proposed payment rule from CMS should give them extra incentive to improve their [...] - Industry Notes:
National Chain Makes Big Hospice Buy
National chain Amedisys Inc. has agreed to pay about $125 million for Boston-based Beacon Hospice [...]
