Home Health & Hospice Week
Industry Notes:
You may find Medicare appeals processes
Published on Tue May 18, 2010
You may find Medicare appeals processes a little more flexible under a new instruction from CMS. June 11 Transmittal No. 1986 (CR 6958) tells Medicare contractors that they may accept appeal requests via fax or a secure Internet application. However, they are not required to offer such options, CMS notes. And contractors must still accept appeals via regular mail, even if they offer fax and Internet appeals too. Requirements for an Internet application appeal process are contained in the memo at www.cms.gov/transmittals/downloads/R1986CP.pdf. A related MLN Matters article is at www.cms.gov/MLNMattersArticles/downloads/MM6958.pdf.
Other Articles in this issue of
Home Health & Hospice Week
- Diagnosis Coding:
Check Out These New Diagnosis Codes For 2011
Welcome detailed H1N1 pneumonia combination codes. New pneumonia, fluency disorder, and cystostomy complication codes are [...] - Fraud & Abuse:
Fraud-Fighting Program Ramps Up
In 2009, the Senior Medicare Patrol Project collected triple its 2008 amount. The government recruits [...] - Know Your Facts:
Here's Where The Senior Medicare Patrol Project Is Most Active
New York and Michigan have beefed up their SMP rosters, while other states, such as [...] - Compliance:
In Heightened Compliance Environment, Examine Reporting Hierarchy
How your compliance officer reports to the Board could doom you. How often does your [...] - Audits:
Fraud Hammer Continues To Pound Home Care
OIG's latest report highlights HHA outliers, DME support surfaces. The feds have three billion good [...] - Industry Notes:
Home Infusion Could Save Medicare Money, GAO Says
Private sector insurance often opts for home infusion. Your non-homebound patient business could increase, if [...] - Industry Notes:
With Medicare's Recovery Audit Contractors and other fraud hunters turned loose
With Medicare's Recovery Audit Contractors and other fraud hunters turned loose thanks to health care [...] - Industry Notes:
Expect more scrutiny of your claims, thanks to President Obama directing HHS
Expect more scrutiny of your claims, thanks to President Obama directing HHS to cut Medicare's [...] - Industry Notes:
You may find Medicare appeals processes
You may find Medicare appeals processes a little more flexible under a new instruction from [...] - Industry Notes:
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Don't expect a RAP payment if your patient has an open Medicare Secondary Payor record. [...] - Industry Notes:
Despite the home medical equipment
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You won't see any big changes from RHHI Palmetto GBA as a result of its [...] - Industry Notes:
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Difficulty accessing hospice care isn't
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