Home Health & Hospice Week
Claims With Overlapping Dates Cause Confusion
If you’re running into U5181 claims returns and can’t figure out why, you may want to look at correct date usage. “Hospices must report occurrence code (OC) 27 and the date on all notices of election (NOEs) and initial claims following a hospice election and on all subsequent claims when the claim’s dates of service overlap the first day of the next benefit period,” HHH Medicare Administrative Contractor CGS explains in article about the code. Important: For those scenarios in which the dates of service overlap the first day of the next benefit period, “the OC 27 date reported is the first day of the new benefit period,” CGS stresses. More OC 27 tips are at www.cgsmedicare.com/hhh/pubs/news/2018/1118/cope9815.html.
Home Health & Hospice Week
- Targeted Probe & Educate:
Medical Necessity Ranks In Next Tier Of TPE Denials
You’ve seen the top denial reasons, now look at the rest. Santa shouldn’t be the [...] - Medical Review:
Review Choice Demo Exchanges One Medical Review Burden For Another
Here’s why you didn’t see these key states in Palmetto’s TPE results. Where are some [...] - Payment:
Medicare Margin Climbs In Latest Reckoning
MedPAC readies yet another steep rate-cut recommendation. Medicare Payment Advisory Commission officials seem to think [...] - Hospice:
MedPAC Paves Way For Hospice Cut Recommendation
Hospice spending surpasses home health. A profit margin that keeps creeping up is one factor [...] - Audits:
Note These New Hospice-Related RAC Targets
Medicare cracks down on hospice bundling. Unlike home health agencies, hospices don’t have any Recovery [...] - Reimbursement:
Add Denied Claims Check-In To Your End-Of-Year To-Do List
Tip: Encrypt your emailed documentation per HIPAA, CERT contractor says. It may not be as [...] - Industry Note:
Know Corrective Action Plan Ins And Outs For RAP Trouble
Warning: Deadline is tight to submit CAP. If your RAP practices have gotten sloppy, you’d [...] - Industry Note:
Claims With Overlapping Dates Cause Confusion
If you’re running into U5181 claims returns and can’t figure out why, you may want [...] - Industry Note:
Give CMS Your 2 Cents On AOs
Do you think there’s something shady about accrediting organizations and the financial relationships they have [...] - Industry Note:
IRS Increases Mileage Rate By 3.5 Cents
Providers that have travel reimbursement policies linked to the Internal Revenue Service mileage rate should [...] - Industry Note:
MAC Look-up Tools Switch Entirely To MBIs
Just because you get an MBI number for a beneficiary from your MAC’s system, doesn’t [...] - Industry Note:
Hurricane Waivers Come To An End
Home care providers in the Southeast impacted by this fall’s hurricanes should take note that [...] - Industry Note:
Whistleblowers Get Big Chunk Of $5.9M Hospice Settlement
Two former hospice employees will rake in $1.1 million of the $5.9 million settlement nine [...] - Industry Note:
LHC-Lifepoint Venture Makes Buys In 2 States
A joint venture by LHC Group and LifePoint Health have purchased and will share share [...] - Industry Note:
Share HIPAA Load-Lightening Suggestions With The Feds
You have until Feb. 11 to give the feds a piece of your mind on [...]
