tci Medicare Compliance & Reimbursement - 2003 Issue 11

PROGRAM MEMO ROUNDUP

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...

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