CMS Issues Corrections to Claims Processing Policy and 60 Day Calculation Inconsistency

By: dwc

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12657, removing the requirement to submit a Notice of Admission (NOA) before billing for home health denial notices. The CR also revises home health edit criteria to ensure Medicare systems calculate 60-day gaps in service consistently. CMS’ long-standing policy to exclude billings […]

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