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Home Health & Hospice Week

Reimbursement:

This Fall, Use New File To Head Off Bundling Rejections

Published on Wed Jun 16, 2010

Keeping tabs on doc billing could help keep you from getting stuck holding the bag. The feds are taking another step to help DME suppliers avoid billing mistakes due to home health consolidated billing. The Centers for Medicare & Medicaid Services has urged HHAs to bill timely in order to help suppliers avoid claims rejections due to home health prospective payment system bundling (see Eli's HCW, Vol. XIX, No. 16, p. 123). When agencies fail to bill quickly, the patient doesn't show up in the Common Working File as being in a home health episode, leading a durable medical equipment supplier to think it's clear to bill for bundled supplies. Beginning Oct. 1, CMS will make available a new auxiliary file that will display to providers whether a physician has billed for a home care certification or recertification for a patient, and if so, when she billed for it. "That [...]
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