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Category: Home Health Billing

Home Health Billing / Home Health Today

Home Health: Important Pre-Claim Review Billing Issue! Claims Incorrectly Returning for Reason Code 39621.

From Palmetto GBA: Home Health Agencies participating in Pre-Claim Review are having claims incorrectly returning with reason code 39621, indicating to remove the UTN. Agencies should not remove the UTN! …

Behavioral Health Billing / COVID-19 / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

The Provider Relief Fund (PRF) Reporting Deadline is Just Weeks Away! Are You Prepared?

The CARES Act, passed in March last year, included $175 billion in Provider Relief Funding (PRF). Lawmakers promised that these funds would be available to providers with no strings attached …

Behavioral Health Billing / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections

Medicare Loan Recoupment has Begun! How Will this Impact Your Organization’s Cash Flow?

Providers struggling during the pandemic were given a critical lifeline from CMS in the form of Medicare advanced/accelerated payments last year. With so many things on your plate during these …

Home Health Billing / MassHealth

Massachusetts: CCA Home Care and Home Health Providers Must Submit their Attestation to Receive Increased Funding

An important notice from the Massachusetts Commonwealth Care Alliance (CCA) Contracting Department: CCA is following the guidance issued on January 22, 2021, by the Executive Office of Elder Affairs, for …

Home Health Billing / Hospice Billing

Important – Accelerated and Advance Payment Webinar for Home Health and Hospice Providers from Palmet

Part A, B and Home Health and Hospice providers that received a Medicare accelerated or advance payment are invited to join Palmetto GBA for an Accelerated and Advance Payment Refund …

Home Health Billing

Important Update for Home Health: Medicare System Not Recording HIPPS Code on Some Claims

An important update from Palmetto GBA: “On some claims, the submitted HIPPS code is not being replaced by the system-calculated code, when applicable. As stated in the Section 4.02 of …

Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

Updated PEPPER Retrieval Maps Allow Comparison By State

The PEPPER Team has updated the maps that display the PEPPER retrieval rates for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. Percentages reflect the PEPPER release that …

COVID-19 / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

HHS Begins Distributing Phase 3 COVID-19 Provider Relief Funding

From HHS: Today, the Trump Administration, through the Health Resources and Services Administration (HRSA) is announcing it has completed review of Phase 3 applications from the Provider Relief Fund (PRF) …

DME Billing / Home Health Billing / Hospice Billing

The Next Home Health, Hospice & DME Forum from CMS

CMS is holding their next Open Door Forum for home health, hospice, and DME providers. The Open Door Forum will take place on Wednesday, December 16, 2020 PM at 2:00-3:00 …

Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

The New Geographic Direct Contracting Payment Model from CMS

CMS announced a new voluntary payment model: The Geographic Direct Contracting Model (Geo). Geo will test an approach to improving health outcomes and reducing the cost of care for Medicare …

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