Home Health & Hospice Week
OSC Snafu Stalls Hospice Reimbursement.
A payment system glitch could be holding up your hospice claims, but a temporary solution can get your payments flowing again. "Hospice claims with Occurrence Span Code (OSC) 77 are receiving reason code 34923 in error," RHHI Palmetto GBA says on its website. OSC 77 indicates "noncovered days due to untimely certification," Cahaba GBA notes on its "Hospice Medicare Billing Codes Sheet" at www.cahabagba.com/rhhi/education/materials/quick_hospice_codes.pdf. Why? "The number of non-covered units should be equal to the non-covered days identified by the date span reported with the occurrence span code 77," Cahaba explains on its website. "It appears that FISS is also including units reported on the discipline lines when counting the days." At Cahaba the claims are being suspended to status/location S M4923, while at Palmetto they suspend to status/location SM770C. Workaround: For the claims to process, providers can omit the discipline code (i.e., 055X, 057X, 056X, etc.) line items for dates of service that fall within the dates of OSC 77, Palmetto instructs on its website. "Providers should contact the Provider Contact Center ... to request these claims be Returned to Provider (RTP). Once these claims are RTP'd, the provider can use the workaround to resubmit their claim(s)." A system fix for this problem is scheduled for October, Cahaba says on its website.
Home Health & Hospice Week
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