CMS Issues Change Request Regarding Demand Bills
Homecare Insider, February 20, 2012
Homecare providers must continue to stay updated regarding policy and manual changes that are issued by the Centers for Medicare and Medicaid Services (CMS). CMS issues these changes in the form of transmittals entitled Change Requests (CRs), which are usually accompanied by a Medicare Learning Network (MLN) Matters article.
For example, on December 22, 2011, CMS issued CR 7660 followed by MLN Matters article number MM7660. The effective (and implementation) date of this change is March 22, 2012 and it provides additional instructions and clarifies two sections of Chapter 10 in the Medicare Claims Processing Manual. CMS recently discovered that Medicare’s instruction regarding the reporting of the “Total Charges” field on claims is in conflict with the requirements of the HIPAA Standard 837: Institutional Claim Format. Standard 837 requires that the “Total Charges” field (SV203) always be reported and that zero is an acceptable value.Medicare’s instructions since 2000 have stated that the field may be zero or blank. A revised Chapter 10, Section 50 also provides additional billing instructions to assist providers in preparing demand bills when requests by the state Medicaid program do not correspond to dates of existing episodes of care.
Most Popular
- Articles
-
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Code diagnoses and outpatient treatment for PTSD
- OB services: Coding inside and outside of the package
- Differentiate between types of wound debridement
- Don’t forget the three checks in medication administration
- What to include on the incident report
- Q&A: Primary, principal, and secondary diagnoses
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Understanding and coding for critical care services
- E-mailed
-
- Joint Commission aligns patient visitation rights requirements with CMS
- Q&A: Code assignment for hospital acquired/healthcare associated conditions
- OB services: Coding inside and outside of the package
- Note from the Instructor: Provider-Based vs. Freestanding Locations: Financials Flip-flop with New Packaging
- Neurological checks for head injuries
- Mold found in Seattle Hospital ORs leads to one death, five infections
- Know the medical gas cylinder storage requirements
- Joint Commission answers foreign object question
- ICD-10 offers opportunities for complication codes
- Follow these guidelines when developing a PACU policy and procedure
- Searched
