Final Reminder! Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Update! Home Health Claims Processing Issues

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NAHC became aware of home health claims processing problems in the last several weeks, caused by a Centers for Medicare & Medicaid (CMS) Service systems issue and some Medicare Administrative Contractor (MAC)-specific issues. (See January 12, 2022 NAHC Report for more information.) NAHC quickly began addressing these issues when it was brought to our attention. […]

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Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time […]

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Home Health Claims Processing Issues

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NAHC has become aware of some home health claims processing problems last week and this week because of a Centers for Medicare & Medicaid (CMS) systems issue and some Medicare Administrative Contractor (MAC)-specific issues.  NAHC quickly began addressing these issues when it was brought to our attention. The issues are: Notice of Admission (NOA) claims […]

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CMS Resumes Targeted Probe & Educate

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NAHC urges CMS to suspend TPE until the public health emergency ends The Centers for Medicare & Medicaid Services (CMS) indicated in an August 2021 MLNConnects newsletter that it will resume the targeted probe and educate (TPE) program that was suspended in March 2020 (as were most medical reviews) due to the COVID-19 public health […]

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CMS Extends Medical Review Dates

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The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare Administrative Contractors (MACs) may now begin conducting post-payment medical review for later dates of services. On March 30, 2020 the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic.  On August 17, 2020 […]

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Hospices: Deadline for Self-reporting of Aggregate Cap is March 2

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2019 Cap year by March 2, 2020 (NOTE:  the deadline usually is the last day in February, but because February 29 falls on a weekend, the deadline shifts to the next business day).  If you have a Cap-related liability, you are […]

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Appeals Demonstration Expanded to Home Health and Hospice

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On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further engagement between Durable Medical Equipment (DME) suppliers and the DME QIC would improve the understanding of the cause of appeal denials and, over time, result in more proper […]

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Appeals Demonstration Expanded to Home Health and Hospice

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On Jan.1, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration to test whether further engagement between Durable Medical Equipment (DME) suppliers and the DME QIC would improve the understanding of the cause of appeal denials and, over time, result in more proper […]

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CGS Extends Direct Data Entry Deadline

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CGS asked the National Association for Home Care & Hospice to share with our members that they have extended the deadline for direct date entry (DDE) renewal to November 15, 2019 due to the low percentage of providers having completed the process by the original deadline date.  As of today only 63% of CGS Home […]

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Cost Report Submission Reminders & Updates for Home Health and Hospice Providers

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The largest proportion of home health and hospice agencies utilize a calendar year fiscal year and are required by Medicare to submit their cost report by May 31. This article provides reminders of various changes that may impact the cost reporting process for these organizations. Electronic Cost Report Submission/CMS Webinar Starting last year, the Centers […]

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