Medicare Compliance & Reimbursement

PROGRAM MEMO ROUNDUP

The Centers for Medicare & Medicaid Services said in a July 30 program transmittal (CR 3400) it will change the home health post-payment review process to identify both overpayments and underpayments resulting from inaccurate reporting of inpatient discharges for service dates Oct. 1, 2001 through Sept. 30, 2003. The effective date is set for Jan. 3, 2005.
     
In other recent transmittals, CMS:
 
  incorporates the contractor workload identifier in the Healthcare Integrated General Ledger Accounting System to allow the identification of state specific workloads within a contractor (CR3362);   updates the Healthcare Provider Taxonomy Codes (HPTC)/Medicare Specialty Code Crosswalk that is necessary to remain HIPAA compliant (CR3259); updates reserve hours in the January 2005 release for HIPAA transaction programming to rectify identified problems (CR 3316); and outlines the annual adjustment of the amount in controversy thresholds (CR 3354).
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