Eli's Hospice Insider
Did You Miss This Claim Resubmission Requirement?
Don’t lose out on your rightful reimbursement because you fail to resubmit claims that were incorrectly rejected due to a recent glitch. The problem: “Due to processing issues at the Enrollment Database (EDB), entitlement data sent for new and/or updated beneficiaries processed at the Common Working File (CWF) between October 7, 2019 and October 9, 2019 posted with blank/ZERO entitlement dates causing some claims to reject with reason code U5200,” HHH Medicare Administrative Contractor CGS explains on its website. The solution: The problem is fixed, but the MACs won’t automatically reprocess incorrectly rejected claims. “Resubmit impacted claims rejected with reason code U5200, after verifying that the beneficiary was eligible on the date of service and the reason code was assigned incorrectly,” HHH MAC National Government Services says in a message to providers.
Eli's Hospice Insider
- Fraud & Abuse:
GAO Takes Its Turn To Criticize Hospice Surveys
Surveyors should look at live discharge rate, new report urges. More evidence that the feds [...] - Compliance:
Alternative Sanctions May Prove A Double-Edged Sword For Hospices
Warning: CMPs can put you out of business faster than decertification. If you think alternative [...] - Surveys & Certification:
Majority Of Cases Reviewed Failed Aide Supervisory Visit Requirement
Watch out: Tougher enforcement is ahead. With so much going on for hospices, it’s easy [...] - Reimbursement:
Out With The Old, In With The New: MBIs
Warning: Don’t drag your feet on the transition to billing with new Medicare numbers. Along [...] - Budget:
Advisory Agency Wants Hospice Rates To Stay Flat, Cap To Go Down
Will lawmakers listen to MedPAC? Taking the spotlight as Medicare’s newest fraud-prone industry means Congress [...] - Hospice News:
Report To Congress Features Hospice Fraud
OIG applauds DRG proration. The HHS Office of Inspector General’s Semiannual Report to Congress is [...] - Hospice News:
Watch Out: SIP Window Is Closing
Hospices interested in participating in Medicare’s forthcoming Primary Care First Model’s Seriously Ill Population (SIP) [...] - Hospice News:
Regional Chain Makes South Carolina Acquisition
Heart of Hospice based in Columbia, South Carolina, has purchased the operations of Heartstrings Hospice, [...] - Hospice News:
LHC-LifePoint Buy 2 More Agencies
LHC Group Inc. and LifePoint Health are further expanding their joint venture with acquisitions of [...] - Hospice News:
State Pays Millions To Settle False Claims Charges
State governments and hospice fraud settlements don’t usually go hand-in-hand, but a recent case is [...] - Hospice News:
Hospital Moves To Finalize Hospice Sale
Graham Regional Medical Center in Graham, Texas, has gotten approval to accept an undisclosed offer [...] - Hospice News:
Watch For These Increases In 2020
Along with the New Year come increases in patient payment amounts and more. In 2020, [...] - Hospice News:
Did You Miss This Claim Resubmission Requirement?
Don’t lose out on your rightful reimbursement because you fail to resubmit claims that were [...] - Hospice News:
Beware This LCD Change
Don’t expect to get diagnosis coding specifics in your Local Coverage Decisions going forward. “It [...]
