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Posting Date: 10/15/2021
Home Health Referrals
Home Health Referrals Table of Contents Home Health Referrals Order for Home Health Services Documentation to Support Homebound Status Documentation to Support the Need for Skilled Services Documentation Regarding the Face-to-Face [...]
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Posting Date: 08/08/2024
Supplemental Security Income Ratio Realignment for Cost Reporting Periods Starting Before 10/1/2013
Supplemental Security Income Ratio Realignment for Cost Reporting Periods Starting Before 10/1/2013 On 6/9/2023, in response to the Supreme Court’s ruling in Azar v. Allina Health Services, 139 S. Ct. 1804 (2019), the CMS issued a final rule [...]
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Posting Date: 02/02/2021
About Appeals
About Appeals Table of Contents About Appeals Reopening vs. Redetermination Reopening Redetermination [Return to Top] About Appeals Providers and beneficiaries have the right to appeal claim determinations made by National [...]
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Posting Date: 01/27/2015
Home Health Forms – Which is Required?
Home Health Forms – Which is Required? The Advance Beneficiary Notice/Home Health Change of Care Notice/Notice of Medicare Noncoverage Scenario ABN HHHCN NOMNC Patient met goals under the POC and is being [...]
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Posting Date: 11/30/2020
Homebound Status
Homebound Status A Medicare beneficiary must be confined to the home in order to use their Medicare home health benefit. CMS defines homebound status in the CMS IOM Publication 100-02, Medicare Benefit Policy [...]
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Posting Date: 06/08/2021
Home Health Certification Statement
Home Health Certification Statement What is a home health certification statement? It is an attestation that the Medicare beneficiary is eligible for home health services. It is a CMS requirement and condition of payment for a home health [...]
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Posting Date: 02/08/2021
Wound Care Under the Medicare Home Health Benefit
Wound Care Under the Medicare Home Health Benefit Wound care treatment typically involves three skilled nursing interventions, which may be performed at the same time or separately from each other. The three services are: Performing the [...]
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Posting Date: 12/19/2016
Medical Unlikely Edits Implemented for Some HCPCS and CPT Codes
Medical Unlikely Edits Implemented for Some HCPCS and CPT Codes Table of Contents Medical Unlikely Edits Implemented for Some HCPCS and CPT Codes Looking Up MUEs Accessing MUE Tables Common Questions [Return to Top] Medical Unlikely [...]
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