Independent therapists and durable medical equipment suppliers will face stepped-up scrutiny next month of claims for care provided to patients under home health consolidated billing, the Centers for Medicare & Medicaid Services warns in a March 7 program memorandum (B-03-021; http://cms.hhs.gov/manuals/pm_trans/B03021.pdf).
CMS notes that therapists and suppliers are responsible for determining whether a Medicare beneficiary is under a home health plan of care — and that they need to make sure they do so. To make it easier, CMS says it will make home health data available to them through the Eligibility Benefit Inquiry/Response Transaction System...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: