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Temporary Claims Hold Author: Michael Tidd LVN, HCS-D, COS-C CMS has directed al Medicare Administrative Contracts (MACs) to hold all claims with dates of service on or after April 1, 2021. This is an action to avoid withholdings from claims related to the Sequestration Moratorium Extension passed by congress...
Read moreCMS continues RCD Phase-In for FL & NC Author: Michael Tidd LVN, HCS-D, COS-C Agencies located in Florida and North Carolina will continue to have the option to voluntarily participate in the Review Choice Demonstration or hold off on submissions for this program for an additional 90 days. ...
Read moreSequestration Moratorium extended through 2021 Author: Michael Tidd LVN, HCS-D, COS-C Ten days ago, we urged you to act and petition your congressional representatives and senators to act quickly in order to extend the sequestration moratorium. Through the hard work of NAHC and your efforts, we have been...
Read moreHome Health Payment Corrections On April 1, Medicare systems will correct 3 errors affecting the payment of Calendar Year (CY) 2021 claims: Claims spanning January 1 are applying CY 2020 rates in error Late Request for Anticipated Payment (RAP) penalties are not applying to outlier amounts Late RAP penalties...
Read moreLatest RAP-related claims error involves placeholder HIPPS code Some agencies are facing new payment issues related to the no-pay RAPs that began January 1, 2021. MACs Palmetto GBA and CGS, collectively responsible for claims in 31 states, have recently alerted agencies to a potential issue where Medicare’s system is...
Read moreCMS Increases Medicare Payment for Life-Saving COVID-19 Vaccine The Centers for Medicare & Medicaid Services (CMS) has ncreased the Medicare payment amount for administering the COVID-19 vaccine with a new and higher payment rate which will support important actions taken by providers designed to increase the number of vaccines...
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