Supplemental Medical Review Contractor Home Health Project

In November, CMS’ Supplemental Medical Review Contractor (SMRC) posted a new project, 01-031 Home Health Notification of Medical Review. This is a post-payment review of claims for Medicare Home Health services billed on dates of service from January 1, 2020 through December 31, 2020 for bill types 032X and 034X.  Detailed specifics about the project…

Hospice Supplemental Medical Review Contractor Activity

The Centers for Medicare and Medicaid (CMS)’ Supplemental Medical Review Contractor (SMRC), Noridian Healthcare Solutions LLC, has posted a current hospice project – General Inpatient Hospice.   CMS contracted with Noridian on February 13, 2018 to help lower improper payment rates and increase efficiencies of Medicare and Medicaid medical review. The SMRC conducts medical review of…