Medical Review Resumes This Month

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The Centers for Medicare & Medicaid Services (CMS) will resume medical revnew this month after originally delaying the program during the COVID-19 public health emergency (PHE). (NAHC Report originally reported this news on July 9.) On March 30, CMS suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic and, seemingly, for the […]

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Cost Report Deadlines Extended

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Postings from Medicare Administrative Contractors CGS and NGS indicate cost report deadlines have been extended, NAHC has learned. Following is a posting from the CGS website regarding extensions on deadlines for some cost reports.  Please note that the deadline for 10/31/19 and 11/30/19 cost reports remains at 6/30/2020 while other deadlines have been further extended. […]

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Hospices: Deadline for Self-reporting of Aggregate Cap is March 2

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2019 Cap year by March 2, 2020 (NOTE:  the deadline usually is the last day in February, but because February 29 falls on a weekend, the deadline shifts to the next business day).  If you have a Cap-related liability, you are […]

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Appeals Demonstration Expanded to Home Health and Hospice

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On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further engagement between Durable Medical Equipment (DME) suppliers and the DME QIC would improve the understanding of the cause of appeal denials and, over time, result in more proper […]

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Your HICN Claims Will Soon Be Rejected Regardless of Date of Service

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The Centers for Medicare & Medicaid Services sent out a new notice today, reminding providers to make the switch to Medicare Beneficiary Identifiers (MBI) with their patients. Use Medicare Beneficiary Identifiers (MBIs) now to avoid claim and eligibility transaction rejects. Starting January 1, 2020, regardless of the date of service on the Medicare transaction, most […]

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Appeals Demonstration Expanded to Home Health and Hospice

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On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further engagement between Durable Medical Equipment (DME) suppliers and the DME QIC would improve the understanding of the cause of appeal denials and, over time, result in more proper […]

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CGS Extends Direct Data Entry Deadline

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CGS asked the National Association for Home Care & Hospice to share with our members that they have extended the deadline for direct date entry (DDE) renewal to November 15, 2019 due to the low percentage of providers having completed the process by the original deadline date.  As of today only 63% of CGS Home […]

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Cost Report Submission Reminders & Updates for Home Health and Hospice Providers

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The largest proportion of home health and hospice agencies utilize a calendar year fiscal year and are required by Medicare to submit their cost report by May 31. This article provides reminders of various changes that may impact the cost reporting process for these organizations. Electronic Cost Report Submission/CMS Webinar Starting last year, the Centers […]

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Hospices: Is Your Cap Report Good to Go?

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As referenced previously, Medicare-participating hospice programs have until Thursday, February 28, 2019, to calculate and transmit their 2018 Aggregate Cap report to their Medicare Administrative Contractor (MAC), along with any Cap liability (if one exists).  If the MAC does not receive the hospice’s completed report by the due date of February 28, 2019, the MAC […]

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Hospices Have Limited Time to Submit Aggregate Cap Report

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The hospice self-determined aggregate cap reports and any overpayments are due February 28, 2019.  Hospices have been completing their own cap reports and submitting them to their Medicare Administrative Contractor (MAC) since the 2014 cap year. If the MAC does not receive the hospice’s completed report by the due date of February 28, 2019, the […]

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