CMS Issues Clarification on Billing and Payment

The MLN Matters article, SE17027 – Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device, has been revised with additional billing information for home health agencies. Specifically, the article was updated to clarify the description for coding the TOT UNIT/COV UNIT field on Type of Bill 34X on…

CMS to hold Important Call on PDGM

The Medicare Learning Network (MLN), part of the Centers for Medicare and Medicaid Services (CMS), will be present a call on the home health Patient-Driven Groupings Model (PDGM) on Tuesday, February 12, 2019 from 1:30 to 3:00 PM ET. REGISTER NOW! During this call, learn about the Patient-Driven Groupings Model (PDGM) that will be implemented…

CMS Call to Provide Guidance on Patient-Driven Groupings Model

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Learning Network will hold a conference call in February 2019 to provide information about the Patient-Driven Groupings Model (PDGM), a radical change in home health payment. The call will occur on Tuesday, February 12, 2019 from 1:30 to 3:00 PM Eastern Time. The intended…

Reminder: Hospices Should Drop Use of Billing “Workaround” for Transfers Starting July 2

Previously, the Centers for Medicare & Medicaid Services (CMS) issued the Medicare Learning Network (MLN) Matters® article, SE17014 (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/SE17014.pdf).  This article instructed hospices to utilize a “workaround” under which a hospice that received a transfer patient reports the benefit period start date as the admission date on claims. This was necessary to ensure the days…

Webinar on How to Use the Medicare Cost Report e-Filing System

The Medicare Learning Network will hold a webinar how to use the Medicare Cost Report e-Filing (MCReF) system on May 1, 2018 from 1:00 PM to 2:30 PM ET. Register for this event RIGHT HERE. The target audience for this webinar is Medicare Part A providers and entities that file cost reports for providers. Beginning…

CMS Hosting Low Volume Appeals Settlement Call Jan. 9

As part of the broader Department of Health & Human Services commitment to improving the Medicare appeals process, the Centers for Medicare & Medicaid Services (CMS) is making available an additional settlement option for providers and suppliers (appellants) with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council…