Responses for 11/17; New scenarios for 12/1

Good Monday morning, I hope everyone enjoyed the Thanksgiving holidays last week!  Here are the responses from 11/17 questions and scenarios. OASIS C1/ICD9: What does the home health resource group, or HHRG, measure? The Medicare Home Health PPS recognizes that different patients use different amounts of resources. The system attempts to predict patient resource use... Continue Reading →

CMS is Requiring HIPPS Codes on Medicare Advantage Claims

The following article was published on the National Association for Home Care and Hospice (NAHC) website on June 19, 2013: Effective July 1, 2013 home health agencies will be required to include a Health Insurance Prospective Payment System (HIPPS) code on Medicare Advantage (MA) claims. The Centers for Medicare & Medicaid Services (CMS) has instructed... Continue Reading →

CMS announces technical issues affecting home health final claims

The Centers for Medicare and Medicaid Services (CMS) has identified technical issues with parts of the April 2013 quarterly systems release. These issues will affect Home Health claims with dates of service or “through dates” on or after April 1, 2013. As a result, CMS has instructed its Medicare claims administration contractors to hold all... Continue Reading →

New Information required on Home Health PPS Claims

On February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) released a transmittal regarding new information that is required on claim forms. The change requires home health agencies to report new codes indicating the location where services were provided and indicating whether the services were added to the home health plan of care... Continue Reading →

Up ↑

%d bloggers like this: