Provider Payment Hold Due to Untimely Cost Report Submission

By:

Palmetto GBA is reporting that it has experienced a large number of providers submitting untimely and/or incomplete cost reports. A large majority of payment withholds are a result of submission of the cost report electronically through eServices, but failure to mail the worksheet with signature. It is imperative to file timely and complete to prevent […]

Read More

All the Medicare Beneficiary Identifier News You Need!

By:

New Look-up Tool for Medicare Beneficiary Identifier is Ready As loyal NAHC Report readers know well by now, the Centers for Medicare & Medicaid Services (CMS) began issuing a new Medicare Card in April, without Social Security Numbers. The cards, which were mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, will be […]

Read More

CMS Eases Hospice Data Reporting on Claims, Provide Data on High/Low RHC Days

By:

Some notable advances to relieve burdensome regulatory requirements and improve data transparency are in sight for hospice providers in the form of reduced data reporting on claims as well as giving hospice providers access to information about days of care at the high and low Routine Home Care (RHC) levels.  These are welcome changes, and […]

Read More

CMS Instructs MACs on Three Percent Rural Add-On Adjustment

By:

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 10531, which provides instructions to the Medicare Administrative Contractors (MACs) to reprocess home health claims eligible for the three percent rural add-on pursuant to the Bipartisan Budget Act of 2018. On February 9, 2018, Congress passed the Bipartisan Budget Act of 2018 which […]

Read More

MAC Satisfaction Survey Now Available

By:

The 2018 MAC Satisfaction Indicator (MSI), a survey administered by the Centers for Medicare & Medicaid Services (CMS), is now available. The MSI is designed to measure your satisfaction as a Medicare provider with the performance of your Medicare Administrative Contractor (MAC). This survey should only take 10 minutes of your time and helps the […]

Read More

CMS Home Health, Hospice & DME Open Door Forum Notes (Feb. 28, 2018)

By:

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice and DME Open Door Forum on February 28, 2018.  A summary of the call is below. HOSPICE Electronic submission of the Notice of Election (NOE) – Several problems were identified with electronic submission of the NOE (for previous NAHC coverage click here), […]

Read More

CMS Issues Policy Clarification and Updates to Covered Supplies

By:

The Centers for Medicare & Medicaid Services (CMS) has issued new communications to its contractors that impact home health and hospice agencies. One directive is to the State Survey Agencies and another to the Medicare Administrative Contractors. CMS has issued a Survey and Certification Memo titled Clarification of the Accrediting Organization’s (AO’s) Role when a […]

Read More

Your Questions about CMS’ Targeted Probe and Educate – Answered!

By:

The Centers for Medicare & Medicaid Services (CMS) utilizes Medicare Administrative Contractors (MAC) to review clinical documentation in order to prevent improper payments. MACs choose claims for review based on many factors such as the service specific improper payment rate, data analysis and billing patterns of the provider. In 2014 CMS began a program that […]

Read More