Eli's Rehab Report
CMS Extends Acceptance Period for Old 1500 Form
WASHINGTON, D.C. -- If you've obtained updated CMS-1500 forms to accommodate the National Provider Identifier (NPI), the forms may not be valid.
Snag: CMS noted on March 12 that certain print vendors, specifically the Government Printing Office (GPO), are selling incorrectly formatted versions of the revised form.
"After reviewing the situation, the GPO has determined that the source files they received from the NUCC's authorized forms designer were improperly formatted," CMS said in a press release. "This resulted in the sale of both printed forms and negatives which do not comply with the form specifications."
Next step: Given the circumstances, CMS has decided to extend the CMS-1500 (12-90) version acceptance period beyond the original April 1, 2007, deadline while the situation is resolved. "Medicare contractors will be directed to continue to accept the Form CMS-1500 (12-90) until notified by CMS to cease," CMS said, estimating a target date of June 1, 2007.
In the meantime, CMS is directing contractors to return, not manually key, any CMS-1500 (08-05) forms they receive that are not printed to specification. For more information on identifying correct and incorrect forms, visit www.cms.hhs.gov/ElectronicBillingEDITrans/Downloads/1500%20problems.pdf or contact Brian Reitz at Brian.Reitz@cms.hhs.gov.
Eli's Rehab Report
- Know the Facts:
Get the Lowdown on Per-Visit Fees -- and How to Voice Your Opinion
Some states are seeing reimbursement as low as $35 per visit You may have heard [...] - Inpatient Insights:
Nail the 3-Hour Rule Without Cheating the System
Tip: Create a 30-minute buffer to allow for patient breaks Squeezing in those three required [...] - Home Health:
Stay Alert: Therapy Utilization Guidelines to Hit Agencies
Be sure your therapy visit number fits under a new coverage policy limit The feds [...] - Reader Questions:
Don't Let Medicare Payer Bundle 97605 and 97606
Question: I received a denial for a Medicare claim with active wound care management codes [...] - Reader Questions:
Admission Reason Determines V Code
Question: We are a home health agency providing physical therapy and occupational therapy to a [...] - Clip and Save:
Know Your Visit Limits Down to the Code
Check out Cahaba GBA's new utilization guidelines that affect home health therapy services starting April [...] - News Brief:
CMS Extends Acceptance Period for Old 1500 Form
WASHINGTON, D.C. -- If you've obtained updated CMS-1500 forms to accommodate the National Provider Identifier [...] - News Brief:
Congress Pays Attention to PT Students
ALEXANDRIA, VA. -- Physical therapists who practice in areas suffering healthcare provider shortages could become [...] - News Brief:
Wound Therapy Claims May Go Under the Microscope
COLUMBIA, S.C. -- Watch for claim denials if you bill for negative pressure wound therapy. [...]
