Home Health Line
10/06/2014
by: Palmetto GBA
Claims denied due to the recent PECOS issue may be adjusted or qualify for using the Clerical Error Reopening process instead of the redetermination process. Agencies within the Palmetto GBA area should use this Clerical Error Reopening request form.
09/01/2014
Four months after supplemental medical review contractor (SMRC) StrategicHealthSolutions LLC requested documentation for five claims from every agency nationwide, it has begun issuing claims denials.
 
 
09/01/2014
An ongoing glitch with the Provider Enrollment, Chain and Ownership System (PECOS) is causing mounting frustration for agencies with claims stuck in suspension.
 
 
09/01/2014
Home health agencies should invest in using clearinghouses to speed up the payouts they receive from commercial payers and prevent cash-flow issues.
 
 
09/01/2014
Here are the websites for some of the popular clearinghouses agencies can use to help speed up the billing process.
 
 
09/01/2014
A recent Government Accountability Office (GAO) report aims to streamline CMS’ claims review processes to avoid duplicate requests for the same patient info.
 
 
09/01/2014
Hospices called for additional clarification on CMS’ new notice of election (NOE) filing requirement during an Aug. 20 CMS open-door forum call focusing on upcoming hospice regulatory changes.
 
 
09/01/2014
When treating patients from the Veterans Administration (VA), make sure you arrange to have a different doctor(s) than the primary attending physician who signs the plan of care ready to approve the plan should the primary doctor not be available through the entire episode of care.
 
 
09/01/2014
Payments from Medicare, Medicaid and commercial payers are coming faster in 2014 than they were in 2013, according to The Financial Monitor, a Hamden, Conn.-based benchmarking service of Simione Healthcare Consultants.
 

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