tci Medicare Compliance & Reimbursement - 2018 Issue 18

Disaster Coding: Take Control of Your Catastrophe Claims

Tip: Some Medicare Conditions of Participation are waived with an 1135 waiver. When a natural disaster strikes, the last thing you’re thinking about is whether your Medicare claims are on target. But, if you are in the middle of the mess and assisting patients, it is vital to know the rules that cover coding and billing for disaster — to ensure you get the pay you deserve. Background: On Sept. 12, HHS Secretary Alex M. Azar issued a Public Health Emergency (PHE) in the wake of Hurricane Florence for North Carolina, South Carolina, and Virginia. Once a PHE...

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