From the desk of: Theresa M. Forster Vice President for Hospice Policy & Programs National Association for Home Care & Hospice

From the desk of:
Theresa M. Forster
Vice President for Hospice Policy & Programs
National Association for Home Care & Hospice
Washington, D.C.
202-547-7424
tmf@nahc.org

Hi, everyone. This morning representatives from CMS, FISS, and the MACs met to discuss this issue and they decided to turn off the edit that caused hospice claims to be returned to provider (RTPed) with Reason Code 32061. CGS just sent the following notice to its listserv and we would expect that other MACs will soon be alerting their constituencies. Our contacts at CMS have indicated that this should result in the needed relief from this claims processing issue. Many thanks to those of you who wrote with your concerns. Take care, Theresa

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Home Health and Hospice News from CGS

Update to Reason Code 32061 System Issue — On April 2, 2013, CGS notified providers through a listserv message that a system problem had been identified which impacted hospice claims (types of bill 81X and 82X). CGS has also determined this is affecting type of bill 34X. These claims were being returned to the provider (RTPd) inappropriately with reason code 32061. The Centers for Medicare & Medicaid Services (CMS) has informed CGS that this edit will be turned off, and contractors can release these claims to continue processing. Providers with claims in status/location T B9997 with reason code 32061 do not need to take any action. CGS is in the process of releasing these claims, and anticipates all claims to be released within the week.