Home Health & Hospice Week

Reimbursement:

LOOK UP PRIOR HHA STAYS TOO

Hospital and nursing home stays aren't the only ones found in the Common Working File. Now you can look up home health agency stays as well. ELGH and ELGA both display patients' home health stays, intermediary Cahaba GBA explains in its June newsletter to providers. When you fill in the patient information in the ELGH/ELGA inquiry screen and leave the "APP DATE" field blank, the most recent HHA episode information will appear on p. 3 of ELGH and p. 4 of ELGA, Cahaba says. The screens show the episodes'start and end dates, among other information. Try this: To look up prior home health episodes, type a date into the APPDATE field and ELGH/ELGA will show you episodes before that date. Determining patients'current and prior home health stays may help with billing problems such as partial episode payment (PEP) adjustments for overlapping episodes and transfer patients.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.