- Avoiding Reason Code 38200
- Correcting Reason Code 37253
- Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q)
- Billing the Home Health Period of Care Claim - PDGM
- Disposable Negative Pressure Wound Therapy Services Under Home Health
- Home Health Prospective Payment System Booklet
- Home Health Third Party Liability Demand Billing
- Home Health Demand Billing
- Notice of Admission Questions and Answers
- Billing the Home Health Notice of Admission Electronically
- Billing the Home Health Notice of Admission via DDE
- Home Health Transfers
- Home Health Agency Transfer and Dispute Protocol
- Late Notice of Admission - The Exception Process
- Reporting Home Health Periods with No Skilled Visits
- Telehealth Home Health Services: New G-Codes
- Reporting Site of Service Codes for Home Health Care
- PDGM Resources
- Billing G-Codes for Therapy and Skilled Nursing Services
- Correcting and Avoiding Reason Code 38157: Duplicate Request for Anticipated Payment
- Correcting and Avoiding Reason Code C7080: Inpatient Overlap
- Completing the Advance Beneficiary Notice for Home Health Agency Demand Claims
- The Medicare Home Infusion Therapy Benefit and Home Health Agencies
- Home Health Therapy Billing
- Home Health Billing When a New MBI is Assigned
- 30-Day Home Health Therapy Reassessment Schedule
Home Health Billing When a New MBI is Assigned
A patient’s MBI number is required on all home health billing submitted to Medicare. CMS will issue a new MBI when an original MBI may have been, or has been compromised. There are times a home health admission period has started and the patient is later assigned a new MBI. HHAs have encountered the following scenarios when a new MBI is issued:
- The admission period has started and the NOA processed under the old MBI.
- The NOA does not need to be canceled and resubmitted under the new MBI. The HHA needs to enter the new MBI on anything billed on or after the effective date of the new MBI. The HHA must also correct the OASIS, if needed, to ensure the MBI on the OASIS and claim match.
- The admission period has started and the NOA and period of care claim(s) processed under the old MBI.
- Everything processed in the Medicare claims system remains – there is no need to cancel the claim(s) or NOA in order to resubmit under the new MBI. Going forward, all billing on or after the effective date of the new MBI must be submitted under the new MBI. HHAs also must ensure the MBI on the OASIS matches the new MBI billed on all claims.
- The MBI changed in the middle of the billing period.
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When billing a span of days on the period of care claim, the “From Date” may be before the MBI change; therefore, HHAs can use the old or new MBI when billing.
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It is imperative that HHAs verify patient eligibility prior to admission and prior to billing. Submitting the appropriate MBI based on the effective issue date and the dates of service being billed will help avoid claim edits, as well as ensure proper billing and efficient processing.
Revised 5/23/2024