Addressing Claims with Reason Code 37253: A Helpful Article from CGS
Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when …
Home Health & Hospice Providers FISS DDE Annual Recertification Must be Completed by September 30th!
Each year, Medicare providers are required to recertify their FISS DDE user access. September 30, 2019 is the last day to complete the Annual DDE PPTN Recertification form. Failure to recertify will …
CMS Proposes Eliminating RAPs for Home Health Agencies
Today CMS issued a proposed rule that has broad-reaching effects across the home health care industry. CMS is proposing to address potential Medicare fraud by phasing out pre-payments for home health …
CMS Releases New Home Health Change of Care (HHCCN) Form
CMS has released an updated Home Health Change of Care (HHCCN) Form. Effective July 1, 2019, all Home Health Agencies will be required to use the renewed form with the …
CMS Releases a New Version of OASIS for 2020
CMS has announced changes to OASIS for 2020. Fortunately for providers, they are relatively minor and will be easy to implement. From CMS: “Beginning January 1, 2020, changes to the …
CMS Finalizes Medicare Advantage and Part D Payment and Policy Updates for 2020
On Monday CMS finalized a rule giving Medicare Advantage plans a 2.53% pay raise in 2020. This is far better than the 1.59% raise that was proposed previously. Additionally, the …
Important Medicare Benefit Policy Manual Updates for Home Health Providers
CMS has released CR11104, which contains many important changes for home health providers. CR11104 updates the Medicare Benefit Policy Manual and Medicare Program Integrity Manual to reflect policy changes in …
Flu Season is Here!
Are you helping your patients avoid the flu by getting immunized? All health professionals should encourage their patients to get a flu shot, even after the new year. It’s better …
Important Changes to Home Health Rural Add-On Payments
CR 10782 creates a new value code, and an associated FIPS State and County Code. The new value code 85 is defined as “County Where Service is Rendered.” All RAPs …
Getting Ready for the New MCR E-Filing System
Is your organization prepared for the switch the MCReF system next year? Providers that prefer to submit their MCR electronically must do so using the new system on January 2 …