Eli's Hospice Insider
NOE Billing Problems Plague Hospices
PDF
Beware multiple hospice Notice of Election-related claims system glitches. Glitch #1: “Hospice notice of change (TOB 8XC) is incorrectly returning to provider (RTP) with Common Working File (CWF) utilization edit U514A,” HHH Medicare Administrative Contractor National Government Services reports. The MAC is currently “working to correct hospice notices that incorrectly RTP’d with reason code U514A,” NGS said in an email to providers. Glitch #2: Part A claims are suspending in error with reason code U5159, NGS also reports. In fact, a number of reason codes “have been editing incorrectly on NOEs/claims” since the July 2018 Medicare claims system release, reports HHH MAC Palmetto GBA on its website. In addition to U514A and U5159, incorrectly editing codes include U5106, U5113, and U5181. Resource: Find details about those problems and updates on their resolutions at www.palmetto gba.com/palmetto/providers.nsf/vMasterDID/B2LQQK3788 and www.cgsmedicare.com/hhh/claims/ fiss_claims_processing_issues.html.
Eli's Hospice Insider
- Billing:
Choose Your Drug Reporting Method And Stick With It, CMS Urges
Look to 2019 rule for clarifications on new options taking effect next month. Drug reporting [...] - Regulations:
Don't Fall In A Compliance Trap With New PA Change
Remember: PAs still can’t certify patients’ terminal illness, among other things. Get ready for a [...] - Referrals:
Watch Out: New Hospital Policy May Limit Your Referrals
Hospitals will get financially dinged for short stays in 280 DRGs. If you haven’t paid [...] - Fraud & Abuse:
OIG Calls Out Hospices For Fraud Related To GIP, Nursing Home Patients
Don’t be surprised to see intermediate sanctions, tougher medical review, and other crackdown activities in [...] - Finance:
New Cost Report Requirement For Chains Takes Effect In October
Don’t ignore it just because it’s in the hospital rule. Stay alert to a new [...] - Billing:
Keep Up With New Medicare Card Changes
More and more Medicare beneficiaries are receiving their new Medicare cards — do you know [...] - Hospice News:
Medicare Strike Force Cities Increase To 10
Another East Coast city makes the list. The feds’ Medicare Strike Force model has proven [...] - Hospice News:
Find Out About HEART Delay In Upcoming Forum
Medicare is moving forward with its hospice patient assessment tool, even if that progress is [...] - Hospice News:
Medicare Presses Pause On Its New Revocation Date Change Procedure
Don’t try to take advantage of Medicare’s new method for removing a hospice revocation date; [...] - Hospice News:
Cap Overpayment Bill May Come Due This Month
Keep an eye out for a cap repayment notice. Some hospices may have already received [...] - Hospice News:
NOE Billing Problems Plague Hospices
Beware multiple hospice Notice of Election-related claims system glitches. Glitch #1: “Hospice notice of change [...] - Hospice News:
Equity Firm Buys Arizona Hospice With Eye Toward Growth
H.I.G. Growth Partners has acquired Sage Hospice in Phoenix, the private equity firm says in [...]