Wednesday, August 20, 2014

CMS Issues Three More Change Request for Home Health Agencies

CMS published Transmittal 3005 Change Request 8699 on August 1, 2014 concerning preventing duplicate payments when overlapping Inpatient and Home Health Claims are received out of sequence. This Change Request effective January 1, 2015improves safeguards to prevent payment of home health services when a beneficiary is an inpatient of a hospital or skilled nursing facility.

CMS published Transmittal 3010 Change Request 8710 on August 1, 2014 concerning preventing payment on Request for Anticipated Payments (RAPs) when home health beneficiaries are enrolled in Medicare Advantage (MA) Plans.  This Change Request effective January 1, 2015 will modify Original Medicare systems to ensure RAPs are not paid when the final claim for a home health episode will not be payable due to the patient being enrolled in Medicare Advantage Plan.

CMS published Transmittal 1405 Change Request 8813 on August 1, 2014 concerning diagnosis reporting on home health claims.  This Change Request effective January 1, 2015instruction adds editing for principal diagnoses that are not appropriate for reporting on the home health claim.
 



We will also be holding a webinar titled 
"Final Hospice Payment Rules and Rates for FY 2015" 
on Wednesday August 27, 2014 
from 3:00 pm to 4:00 pm Eastern Daylight Savings Time (EDT).

For more information please see below:

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Final Hospice Payment Rules and Rates for FY 2015
 We have a Special Live and On Demand Webinar onWednesday August 27, 2014 from 
3:00 - 4:00 PM EDT
2:00 - 3:00 PM CDT
1:00 - 2:00 PM MDT
 12:00 - 1:00 PM PDT & MST
11: AM - 12:00 PM AKST
9:00 - 10:00 AM HAST
This 60 Minute Webinar covered the following items. 

1. The New Hospice Payment Rates for FY 2015    
2. Trends in Medicare Hospice Utilization   
3. Hospice Payment Reform Analysis    
4. Definitions of "Terminal Illness" and "Related Conditions"   
5. New Timeframes for Hospice Cap Determinations & Overpayment Remittances   
6. Notice of Election and Notice of Termination/Revocation Time Limits 
7. Adding the Attending Physician to the Hospice Election Form   
8. Proposed Update to the Hospice Quality Reporting Program   
  
This Webinar can be viewed at a later time because it was recorded.  Your registration fee is only $199 for your entire company.  The registration fee also will include handouts that you will receive via email when you register.
  
To attend the exciting new Webinar please download the Registration Form and fax it back to us at (888) 445-3965 We do accept all major credit cards.  

You can register by phone by calling (321) 473-8561and asking to speak with Margaret.

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