CMS Issues Corrections to Claims Processing Policy and 60 Day Calculation Inconsistency

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12657, removing the requirement to submit a Notice of Admission (NOA) before billing for home health denial notices. The CR also revises home health edit criteria to ensure Medicare systems calculate 60-day gaps in service consistently. CMS’ long-standing policy to exclude billings…

CMS Revises Manual Instructions for the NOA and Allowed Practitioners

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12615 that incorporates policies for the implementation of the  Notice of Admission (NOA) and the subsequent elimination of the Request for Anticipated Payment (RAP). The NOA became effective January 1, 2022. The CR also provides corrections and clarifications regarding who may sign…

Home Health Notice of Admission Processing Update

Home health agencies began experiencing problems with Notice of Admission (NOA) submissions in January of this year when the NOA was implemented, due to CMS (Centers for Medicare & Medicaid Services) systems issues and some MAC-specific systems issues. (See this NAHC Report article for information.) Most of the issues were fixed at the end of January, but…

Home Health Notice of Admission Processing Issues Continue

NAHC Report readers are probably aware that  implementation of the notice of admission (NOA) at the beginning of this year has gotten off to a rocky start. (See January 20, 2022 NAHC Report.) Home health agencies began experiencing problems with the NOA submissions right away due to an issue at the Centers for Medicare &…

CMS Revises Manual instruction Related to Misuse with the NOA

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12595 to update various sections within Chapter 4 of the Medicare Program Integrity Manual, including the removal of references to Request for Anticipated Payment (RAP) suppressions. The CR also adds program integrity policies around abuses with the Notice of Admission (NOA). CMS…

CMS Open Door Forum Shares Hospice Star Rating Info & Updates Home Health Notice of Admission

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided. Both home health and hospice providers should note that CMS has resumed the provider enrollment revalidation process along with some other provider enrollment processes that…

CMS Issues Additional Home Health Claim Processing Instructions

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 12424 that provides additional instructions related claims processing for the notice of admission (NOA) for claims that span calendar years 2021 and 2022, and special circumstances for discharges when no visits are made in a subsequent 30 day period. In the Medicare Claims…

CMS Issues System Changes for the Home Health NOA

The Centers for Medicare & Medicaid Services’ (CMS) Change Request 12227 outlines the business requirements describing the changes to the Medicare systems to implement processing of the notice of admission (NOA) and claims.  NOAs will be submitted using type of bill (TOB) 32A and may be cancelled using TOB 032D. All claims for periods of…