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February 1, 2010, Home Health & Hospice Medicare A ... - CGS

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Reason for CallClaim submittedoverlaps anotherepisode, benefitperiod or claimNumber ofPrior to Calling Cahaba:Calls4,372 At a minimum, ensure that you are reviewing ELGH pages 3, 9 and/orELGA pages 2, 4 for home health episodes of care or hospice benefitperiods prior to admission and submitting home health or hospicebilling transactions to <strong>Medicare</strong>. For more information about thesescreens, use the Checking Beneficiary Eligibility section of FISSReference Guide to assist.Prior to transferring or receiving a home health or hospice patientto/from another home health or hospice facility, review the informationon the following Web pages:<strong>Home</strong> <strong>Health</strong>www.cahabagba.com/rhhi/claims/home_health/bene_transfer.htmwww.cahabagba.com/rhhi/claims/errors_U538I.htm<strong>Hospice</strong>www.cahabagba.com/rhhi/claims/hospice/transfer.htmwww.cahabagba.com/rhhi/claims/hospice/seq_billing.htmwww.cahabagba.com/rhhi/claims/errors_u5106.htmPrior to discharging or readmitting a home health or hospice patient,review the information on the following Web pages:<strong>Home</strong> <strong>Health</strong>www.cahabagba.com/rhhi/claims/home_health/discharge_readmit.htmwww.cahabagba.com/rhhi/claims/errors_U538G.htmIf the dates of service of a home health episode overlap an inpatientstay, review:www.cahabagba.com/rhhi/claims/home_health/overlap.htmwww.cahabagba.com/rhhi/claims/errors_c7080.htm<strong>Hospice</strong>www.cahabagba.com/rhhi/claims/hospice/discharge_revoke.htm<strong>Home</strong> <strong>Health</strong> & <strong>Hospice</strong> <strong>February</strong> 1, <strong>2010</strong> 47<strong>Medicare</strong> A Newsline Vol. 17, No. 5

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