The Home Health (HH) Grouper program has various data validity edits that make sure it uses consistent and accurate data when calculating payment groups on HH claims. Of these edits, currently only a principal diagnosis not assigned to a clinical group causes HH claims to be returned to the provider. Other principal diagnosis code errors aren’t returned to the provider. In some cases, this causes processing problems.
What the Potential Cut to Medicare Home Health Payments Means for Home Health Billing
Home health companies will want to pay attention to recent news coming from the White House. This is because it can impact your reimbursement as well as your approach to home health billing and home health coding.
2023 E/M Code Descriptors & Guidelines Summary Of Revisions
After implementing the 2020 Medicare Physician Fee Schedule Final Rule provision, which included revisions to the Evaluation and Management (E/M) office visit Current Procedural Terminology (CPT) (99201-99215) code descriptors and documentation standards that directly addressed the continuing problem of administrative burden for physicians in nearly every specialty, from across the country, the CPT Editorial Panel approved, for 2023, additional revisions to the rest of the E/M code section. Here’s a summary of revisions:
Is GPS Tracking Over for EVV and Home Health Billing?
Congress is considering changes that could halt the electronic visit verification (EVV) process, and home health billing companies are paying attention – providers should be too.
Corrections To Home Health Billing For Denial Notices And Calculation Of 60-Day Gaps In Services
The Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 12657, removing the requirement to submit a Notice of Admission (NOA) before billing for home health denials. CMS will process home health claims without an election period on file if the following are present:
