May 1, 2009, Home Health & Hospice Medicare A Newsline - CGS

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News from Cahaba for Hospice ProvidersMedicare ForumDo you have a Medicare question or topic that you would like addressed in the Home Health & HospiceMedicare A Newsline? If so, fax it to the Provider Outreach and Education (POE) department at 515-471-7584, or e-mail it to ianewsline@cahabagba.com. Please include your facility’s name and provider number,your name and telephone number. Responses to the inquiries received in this e-mail box will be providedonly through the Medicare Forum article, if appropriate. If you need an immediate response to a question,please contact a Provider Contact Center for assistance. Refer to the “Contact Us” page of our Web site andselect “Phone Us” to call a Customer Service Representative (CSR). We also welcome your comments orsuggestions on this publication and other Cahaba customer service activities.Q1. I would like a little clarification regarding when a hospice patient is living in a skilled nursingfacility and that is their declared residence and they die. What would be the appropriatedischarge reason code; 40 expired at home or 41 expired at medical facility? If there issomething that I could print out for reference that would be very helpful.I would be billing to Medicare at the routine home care level of care.A1. The Centers for Medicare & Medicaid Services (CMS) as well as the National Uniform BillingCommittee (NUBC) do not provide a definition of what is considered a patient’s place of residence inregard to the patient status codes. Therefore, because the patient status codes 40 (expired at home),and 41 (expired in a medical facility) are not used to determine reimbursement or coverage, wesuggest that you use the code you believe to be the most appropriate.Home Health & Hospice May 1, 2009 27Medicare A Newsline Vol. 16, No. 8
Cahaba Learning CornerMay 2009 Education EventsTo register for educational events, go to the “Calendar of Educational Events” page on our Web site.Select the event title for registration instructions.‣ “Save Time & Money: Avoiding Hospice Billing Errors Ask the Contractor Teleconference(ACT)” WebinarDate: May 19, 2009Time: 1:00 a.m. – 2:00 p.m. Central Time (CT)Registration Deadline: May 14, 2009Intended Audience: This Webinar is intended for hospice billers, financial staff andadministrators.Description: The ACT will be presented as a Webinar, and concentrate on the most commonhospice billing errors and how to resolve them and ways to prevent the errors from occurring in thefuture. Providers are encouraged to submit questions in advance, which will be responded toduring the event.‣ “Online Courses” are computer-based and can be launched from the convenience of your owndesk. All courses are free and open to anyone.Course TitleAdjusting and Canceling ClaimsAdvanced Hospice BillingAppeals ProcessBasics of ICD-9-CM Coding for HomeHealth CliniciansBeginner Hospice BillingBeginner Home Health BillingCERT (Comprehensive Error Rate Test)Checking Claims StatusComprehending Medicare ClaimsProcessingDescriptionLearn how to adjust or cancel claims.Learn about advanced hospice billing topics.Learn about the Medicare appeals process.Learn the basics ICD-9-CM coding.Learn the basics of hospice billing.Learn the basics of home health billing.Learn about the CERT Program.Learn how to use the Fiscal Intermediary StandardSystem (FISS) to check the status of your claims.Learn about Medicare claims processing.Home Health & Hospice May 1, 2009 28Medicare A Newsline Vol. 16, No. 8
Page 3 and 4: Medicare Payment Policy Publication
Page 6 and 7: Provider Action NeededAll Medicare
Page 8: Internet-Based Medicare Enrollment
Page 11 and 12: Instructions on Utilizing 837 Insti
Page 13 and 14: New Common Working File (CWF) Medic
Page 15 and 16: issued as part of CRs 6297 and 6296
Page 17 and 18: Provider Action NeededSTOP - Impact
Page 19 and 20: • Clinical Nurse Specialists;•
Page 21 and 22: 4. If I have just recently received
Page 23 and 24: CMS Proposes Medicare Hospice Fisca
Page 25 and 26: to the “Claims Corrections” sec
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May 1, 2009, Home Health & Hospice Medicare A Newsline - CGS

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