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.