Home Health & Hospice Week
New Principal Diagnosis Coding Edits To Hit Claims System In April
Get ready for new diagnosis coding-related edits to hit your claims starting in April. Old way: Under current data validity edits, “only a principal diagnosis not assigned to a clinical group causes HH claims to be returned to the provider,” the Centers for Medicare & Medicaid Services says in a new MLN Matters article. “Other principal diagnosis code errors aren’t returned to the provider. In some cases, this causes processing problems,” CMS reports in MM12924. New way: “New edits will identify various error conditions helpful to providers in improving claims accuracy. If the diagnosis coding issues are identified, CMS returns the claim to the provider for correction,” the article says. See the six messages you may receive in such circumstances in the article at www.cms.gov/files/document/mm12924-home-health-claims-new-grouper-edits.pdf. For example, “Primary diagnosis identified as a code first code with condition present” is one of the new messages. Change Request 12924 also fixes a problem with erroneous transfer Notices of Admission (NOAs), the article explains.
Home Health & Hospice Week
- Telehealth:
In Light Of Telehealth’s Pros, Medicare Needs To Act
Easing staffing woes is an important plus. With the benefits of telehealth for home health [...] - Reimbursement:
It’s About Damn Time For Telehealth Reimbursement In Home Health
Without direct pay, telehealth data won’t be accurate. If Medicare officials think home health agencies [...] - Billing:
There's No Need For All New Telehealth Codes
Audio-only encounters should still count. If the Centers for Medicare & Medicaid Services does start [...] - Education:
For 2023 Implementation, Training Needs To Start Yesterday
All new codes require more time. With so many details of telehealth reporting for home [...] - Fraud & Abuse:
States Continue Crackdown On Medicaid Home Health Fraud
Billing for services while traveling is a common violation. The hunt for Medicaid home health [...] - Lawsuits:
Class Action Lawsuit Over Aide Provision Filed
New suit shows why CMS should reverse proposal to cut reimbursement in 2023. Home health [...] - Industry Notes:
Have You Weighed Frontloading Visits As A VBP Strategy?
Medicare highlights the practice in latest VBP newsletter. With the Expanded Home Health Value-Based Purchasing [...] - Industry Notes:
New Principal Diagnosis Coding Edits To Hit Claims System In April
Get ready for new diagnosis coding-related edits to hit your claims starting in April. Old [...] - Industry Notes:
Learn About HH, Hospice Topics Via This MAC's YouTube Videos
Don’t let a chance for free education pass you by — especially when it’s quick [...] - Industry Notes:
Elder Fraud Strike Force Grows
Expect to see more activity from the Justice Department’s Transnational Elder Fraud Strike Force as [...]
