The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual providing instructions to home health agencies for claims submission under PDGM. CMS Transmittal 4294/Change Request (CR) 11272, Home Health (HH) Patient-Driven Groupings Model (PDGM) – Additional Manual Instructions, provides some clarity
The Office of Management and Budget (OMB) has approved the Home Health Change of Care (HHCCN) Form, CMS-10280. Effective July 1, 2019, all Home Health Agencies (HHA) will be required to use the renewed form with the expiration date of 4/30/2022 on the bottom. Please note that HHAs may continue to use the old form
From October 1, 2018, through April 22, 2019, the home health ordering/referring/attending physician reason code 32072 was not editing correctly. This allowed claims containing a terminated attending physician to incorrectly pay. These claims should have denied. In the beginning of May, a Fiscal Intermediary Shared System (FISS) utility was initiated to adjust claims that should
Treating patients is your job. So too is getting paid. Unless you belong to a large medical group, chances are that your staff is taking care of billing for you. Small practices are especially at risk of delayed payments for a variety of reasons. Approximately 83% of physician practices with fewer than five practitioner states
A bipartisan group of legislators introduced a bill in the House of Representatives on Tuesday, April 9, to allow non-physician practitioners to certify home health orders under Medicare. Commonly referred to as the “NPP bill”, the legislation would extend certification authority to nurse practitioners, physician assistants, nurse midwives, and clinical nurse specialists. These NPPs play
Home health agencies face unique obstacles when it comes to billing practices. Medicare reimbursements focus on regulatory reporting compliance, meeting quality initiatives, and submission of appropriate documentation, just to name a few. Billing errors cost home health agencies significant amounts, not only in reduced reimbursements, but in penalties if mistakes occur. Eliminate those home health
You have a busy medical practice with a steady flow of patients. You should be making a profit, but for some reason you’re not. Instead of waiting weeks for payments, you wait for months. Why? In many physicians’ offices, billing tasks are relegated to a staff member not trained or certified to provide such services.
Physicians have enough on their plate without having to micromanage back-end office staff. That often happens when billing challenges start digging into your bottom line. If your office staff doesn’t keep up with coding changes, timely submission and requests for additional information with claims, or uses the wrong billing codes for reimbursement, your revenue cycle
Precision Medical Billing was recognized as a top medical billing service from MedicalBillingReviews.com. Precision is a company that offers easy adoption for a wide variety of pre-existing setups, primarily because of how easily their platform works in conjunction with existing software. When you couple that with the fact that there are options available for on-site
Does your practice manually contact payers to check your claim status? Are you aware that doing so costs roughly $7 per attempt? Your revenue cycle management processes are vital to the financial health and wellness of your practice. Poorly managed handling of claim status inquires costs you not only money, but precious time. A few
