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NGSMedicare.com for home health + hospice providers

Medicare home health providers bring a wide array of skilled services directly to a patient’s residence to meet the needs of beneficiaries who are homebound. 

Medicare hospice agencies are dedicated to providing the highest level of comfort and care to beneficiaries diagnosed with terminal illnesses.

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Registration is Now Open for the 2021 Home Health and Hospice Medicare Administrative Contractor Collaborative Summit

Posted Jun 10, 2021


Medicare University Scheduled Maintenance

Posted Jun 10, 2021


MLN Connects® Newsletter for Thursday, June 10, 2021

Posted Jun 10, 2021


Use NGSConnex to Submit Quarterly Credit Balance Reports

Posted Jun 9, 2021


MLN Connects® Special Edition for Wednesday, June 9, 2021

Posted Jun 9, 2021

Go to All Production Alerts

Home Health: Penalty for RAPs Received More Than five Days Early


Date Reported

2/24/21

Status

Open

Provider Type(s) Impacted

Home Health Agencies

Date Resolved

Reason Code(s)

N/A

Claim Coding Impact

N/A

Description of Issue

The Home Health Pricer program is incorrectly applying a penalty to RAPs received more than five days earlier than the “From” date of the RAP. The associated claims cannot be readily identified for MAC suspension.

National Government Services Action

We will provide updates when applicable.

Provider Action

Agencies may still submit RAPs as they choose.

Proposed Resolution/Fix

A system fix is scheduled for 7/6/2021. Once the fix is implemented, National Government Services will adjust claims with a value code QF amount greater than $0 (penalty amount) and a RAP RECEIPT DT of more than five days earlier than the “From” date.

HH+H LUPA Claims Rejection Error- Reason Codes 39929 and 37363


Date Reported

4/7/21

Status

Open

Provider Type(s) Impacted

J6 and JK HH+H providers

Date Resolved

Reason Code(s)

39929 (claim level) and 37363 (line level)

Claim Coding Impact

N/A

Description of Issue

LUPA claims are rejecting in error with RCs 39929 (claim level) and 37363 (line level), indicating incorrectly that RAP claims have been submitted beyond timeliness limits.



National Government Services Action

Update: 6/8/2021: Mass adjustments are complete.

Update: 4/21/2021: A workaround has been applied and claims will no longer deny at the claim or line level before final processing.


Provider Action

No provider action is needed, however, please continue to monitor the Production Alerts section of our website and future Email Updates.

Proposed Resolution/Fix

Approximately 10/4/2021

Go to All Upcoming Education

Jun 14

2:00 PM – 3:00 PM EDT
Provider Enrollment: Submitting Revalidations via PECOS

Jun 14

2:30 PM – 3:30 PM EDT
Understanding the Medicare Home Health Benefit

Jun 15

10:00 AM – 11:00 AM EDT
Let’s Chat about Provider Enrollment Revalidation

Jun 15

1:00 PM – 2:00 PM EDT
Provider Enrollment: Opioid Treatment Program

Jun 16

1:00 PM – 3:00 PM EDT
MSP: Preparing/Submitting MSP Claims When Primary Payer Makes Payment
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