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Home Health Billing Basics

WEBEnter the home health agency’s NPI number. STMT DATES FROM. and TO (Statement Covers Period "From and "Through") Report the date of the first visit provided in the admission as the “From” date. The “To” or “Through” date on the NOA must always match the “From” date. LAST, FIRST, MI, ADDR, DOB, SEX.

Actived: 9 days ago

URL: https://www.ngsmedicare.com/documents/20124/121705/2110_0122_hh_billing_basics_508.pdf/6f4187d2-588a-ad87-46dd-62e01ab598fe?t=1643903480124

Home Health Billing Basics

WEBEnter the home health agency’s NPI number. STMT DATES FROM. and TO (Statement Covers Period "From and "Through") Report the date of the first visit provided in the …

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Home Health Billing Basics

WEBHH Certification Period. Certification for home health care is for a period of up to 60 days in which a HHA provides care for a Medicare beneficiary for whom a HH …

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Home Health Eligibility Criteria

WEBHome Health Eligibility Requirements. When the physician or allowed practitioner orders/refers a patient for home health services, the patient must meet all five of the …

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Starting the Home Health Billing Process: The Notice of …

WEBPatient’s last name, first name, and middle initial (if applicable), full address, date of birth (MMDDYYYY) and sex code (M/F). ADMIT DATE. Enter the effective date of admission, …

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Home Health Documentation Collaboration

WEBDocumentation Collaboration. Medical record documentation regarding any and all eligibility criteria should be shared with the home health agency at the point of …

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Home Health Documentation Checklist

WEBIf applicable please make sure these documents are signed, dated and incorporated by the certifying physician. (Please note the HHA’s generated medical record documentation, …

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Rural Health Clinics: Coverage and Billing

WEBRHC per visit payment limit based on Medicare Economic Index. Calendar Year 2021 = $87.52 (1.4% increase) Update to the Rural Health Clinic (RHC) All …

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Home Health Demand Billing

WEBKeep the following points in mind when submitting the home health demand bill: A signed ABN* must be on file to submit a demand claim. Claims should be billed for 60 days (if a …

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Documenting Home Health Eligibility Criteria Series …

WEBA skilled professional must document the services specific to the care provided as it pertains to the current diagnosis related to the need (reason) for home …

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WEBNGS Medicare is the official website of National Government Services, a leading Medicare contractor that serves millions of beneficiaries and health care providers. You can find …

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Top Home Health Claim Billing Errors

WEBClaim Billing Reminders. 329 type of bill. 0023 revenue line must be billed with a Grouper-produced HIPPS or any valid HIPPS under PDGM. Must report revenue lines for all …

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New Medicare Coverage of Intensive Outpatient Program …

WEBCC 92 identifies a claim for services under an Intensive Outpatient Program (IOP) treatment plan for DOS on/after 1/1/2024. Applies to OPPS/non-OPPS hospitals (13X), CAH …

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Hospice Documentation

WEBHospice staff signs and dates their entry for documenting the oral certification. The oral certification from a physician does not require a physician signature. complete written …

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Documenting Home Health Eligibility Criteria Series

WEBHomebound Status. Criteria One (One standard must be met): Because of illness or injury, need the aid of supportive devices such as crutches, canes, wheelchairs and walkers; …

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Using FISS DDE to Adjust or Cancel Medicare Claims

WEBStep 3: Make Adjustments to Claim. On claim page 3, enter adjustment reason code. Listing of adjustment reason codes located in FISS DDE Inquiry menu (01) …

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Making the Most of the FISS DDE Inquiries Submenu

WEBObjectives. Provide information on using FISS inquiry menu to help providers prevent claim RTP, rejections, and denials. Review tools available to support claims being correctly …

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