Hospice Training Services
Palmetto GBA encourages providers to set up a CERT point of contact (POC). This person will be responsible for receiving all correspondence regarding the CERT program. Some facilities designate the compliance officer, Health Information Management, facility practice manager, etc. To supply or update the CERT contractor with a new POC, access certprovider.com .
Source: http://www.palmettogba.com/
JUST RELEASED: NEW RULES ON NOE WITH DIAGNOSIS OR CERTIFYING PHYSICIAN ERRORS:
This was released 6/10/2016 as a new frequently asked question for NOE’s on both the Palmetto GBA and CGS websites. This will save agencies a lot of money since they will no longer have to back out and put in another NOE, which in most cases makes the NOE late and days non billable
Question: What process should be followed when a NOE has to be changed after it is initially filed? For instance, this can happen when the attending physician or principle hospice diagnosis changes soon after admission. Will the initial filing of the NOE be “retained” in the system so that when a revised NOE is filed the five-day edit won’t be a problem or would any corrections just be made on the first claim?
Answer: If the information has simply changed or a keying error occurred on the certifying physician or diagnosis code, you do not need to cancel the NOE. Corrections to diagnosis codes and certifying physicians on the NOE may be made on subsequent claims. Since there is no editing in Medicare systems that ensures the diagnosis codes and certifying physicians on hospice claims match the NOE, hospices can correct diagnosis coding and certifying physicians errors on subsequent claims, without canceling the NOE.
For additional information click here.
Jill Schuerman will be presenting to the Texas Association for Home Care and Hospice 47th Annual Meeting.
Jill Schuerman, Founder and CEO of Schuerman Business Consulting, LLC. will be presenting TAHC&H’s 47th Annual Meeting on August 11 in Frisco, Texas. The presentation is titled “Hospice Billing-Getting the Best Start to Your Medicare Collections”.
Learn to use the HIQA to look for hospice eligibility, determine benefit period information for Certifications, determine your episodes of care information for the new tiered payment system. Know the difference between a Medicare Replacement HMO and an insurance that creates a potential MSP situation. Investigate the requirements for submitting the Notice of Election, Notice of Change, and when Notice of Termination/Revocations is needed. There are times you can get an exception to the 5 day NOE rule, so learn when you can and how to bill for that exception.
Jill Schuerman has over 12 years Hospice billing experience. This includes over 5 years as a Central Billing Office Director handling 17 providers caring for an ADC of up to 1500 patients in 6 states.
Click here for the more information
Schuerman Business Consulting, LLC.
PO Box 831176
Richardson,TX 75083-1176
469-931-8151
Is your hospice small enough to be exempt from Hospice CAHPS? Deadline for the application for exemption is looming!
For the calendar year (CY) 2016 data collection period, Medicare-certified hospices that have served fewer than 50 survey-eligible decedents/caregivers in CY 2015 (January 1, 2015 through December 31, 2015) can apply for an exemption from CAHPS Hospice Survey CY 2016 data collection and reporting requirements.
Hospice CAHPS® Exemption for Size Deadline: August 10
Exemptions on the basis of size are active for one year only; you must resubmit an application even if you applied last year.
For More Information, click here.