April 1, 2010, Home Health & Hospice Medicare A Newsline - CGS

We encourage you to bookmark the Quarterly Provider Update Web site and visit it often for this valuableinformation.If you have questions regarding this issue, refer to the “Contact Us” page of our Web site and select “PhoneUs” to call the Provider Contact Center.DisclaimerThis article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article maycontain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be ageneral summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review thespecific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.News from CMS for Home Health ProvidersCoding Patient Transfers under the Home Health Prospective Payment System (HHPPS)The Centers for Medicare & Medicaid Services (CMS) has provided the following Medicare LearningNetwork (MLN) Matters article. This MLN Matters article and other CMS articles can be found on theCMS Web site at: http://www.cms.hhs.gov/MLNMattersArticlesMLN Matters ® Number: MM6757 Related Change Request (CR) #: 6757Related CR Release Date: February 5, 2010 Effective Date: July 1, 2010Related CR Transmittal #: R1904CP Implementation Date: July 6, 2010Provider Types AffectedHome health agencies (HHAs) submitting claims to Medicare regional home health intermediaries (RHHIs)for services provided to Medicare beneficiaries are impacted by this issue.Provider Action NeededSTOP – Impact to YouThis article is based on CR 6757 which revises Medicare processing of Home Health Prospective PaymentSystem (HH PPS) claims to account for recent changes to the UB-04 code set by the National UniformBilling Committee (NUBC).CAUTION – What You Need to KnowCR 6757 implements changes to Medicare systems in response to NUBC code changes. Point of origincodes B and C are deleted, effective with claims for dates of service on or after July 1, 2010, and a newcondition code 47 is created. Medicare system editing of HH episodes is also revised to accommodate thesechanges.GO – What You Need to DoSee the “Background” and “Additional Information” sections of this article for further details regardingthese changes.Home Health & Hospice April 1, 2010 11Medicare A Newsline Vol. 17, No. 7