Home Health & Hospice Week
MAC Calls Providers On The Carpet For 5010
Think that your HHH Medicare Ad-ministrative Contractor hasn't noticed that you aren't submitting claims in the 5010 format and haven't submitted a transition plan? Think again. "Submitters and trading partners still submitting 4010A1 production claims must submit a 5010 Trading Partner Testing/Transition Plan," stresses HHH MAC National Government Ser-vices in a message to providers. "These plans were due to National Government Services by February 1, 2012 for professional submitters and March 2, 2012 for institutional submitters regardless of the Health Insurance Portability and Accountability Act (HIPAA) Enforcement Guidance extension." (That extension puts off CMS's enforcement of the 5010 requirement until June 30.) "Your plans must include the reason for not migrating to the 5010 format," NGS instructs. NGS "is paying close attention to reasons causing trading partner/submitter delays and will be making contact for more information." Even if you submitted a plan, you still may not be off the hook. "If you filed a plan previously and did not meet the timeline a new plan is required," NGS directs. Bottom line: "National Government Ser-vices encourages submitters who have not transitioned to the 5010 format to complete their transition as quickly as possible to ensure timely support from National Government Services EDI support staff," the MAC says.
Home Health & Hospice Week
- Pay For Performance:
Medicare Chugs Closer To Home Health P4P System
Will you have to pay for your patients' high rehospitalization rates? The pay for performance [...] - Reimbursement:
Start Working On Your HH Compare Measures To Prep For P4P
Tip: Put some resources into quality improvement. The timeline for a home health pay for [...] - Fraud & Abuse:
2 Home Care-Related Defendants Plead Guilty After Record-Breaking Fraud Bust
Industry must combat fraud rep. The feds just charged 107 individuals nationwide with Medicare fraud [...] - Finance:
Home Care Companies' Earnings Suffer In Latest Quarter
Reimbursement cuts, face-to-face write-offs mar chains' profits. The Medicare reimbursement climate is getting rougher, and [...] - Industry Note:
Medicare Funds Projects That Use Home Care Strengths
Educating patients, implementing telehealth figure in Innovation awards. The Centers for Medicare & Medicaid Services' [...] - Industry Note:
Deadline For Comments On 1-Year ICD-10 Delay Is Nearly Here
Providers that have an opinion -- either positive or negative -- on the proposed new ICD-10 compliance [...] - Industry Note:
Get To Know This New Code
When a patient passes away, you have another code to put on your claim. CMS [...] - Industry Note:
Home Care Earns Top Profits, Newspaper Highlights
The home care industry is having to fight another charge threatening its reputation. Once again, [...] - Industry Note:
Therapy Edits Focus On High Utilization
If you furnish Part B outpatient therapy to patients in the home, you should pay [...] - Industry Note:
MAC Calls Providers On The Carpet For 5010
Think that your HHH Medicare Ad-ministrative Contractor hasn't noticed that you aren't submitting claims in [...] - Industry Note:
CMS Issues New Billing Instruction For Hospices
Starting Oct. 1, hospices need to note a billing wrinkle in the new 5010 format. [...] - Industry Note:
Good News In Observation & Assessment Clarification
Wondering exactly what's required to justify billing observation and assessment code G0163? Well, direct physician [...] - Industry Note:
NC Agency Owner Faces Fraud Charges
A North Carolina home health agency owner has pled guilty to Medicaid fraud. Prose-cutors charged [...] - Reader Question:
Don't Let Ignorance Cost You Therapy Cap Dollars
Use HIQA to find out where your non-homebound patients stand on their caps. Question: Where [...]
