Home Health & Hospice

What do each of CMS’ four recently issued change requests accomplish?

Homecare Insider, August 11, 2014

1. Change Request 8699 prevents duplicate payments when overlapping inpatient and home health claims are out of sequence.
2. Change Request 8710 prevents payment on Requests for Anticipated Payment when home health beneficiaries are enrolled in Medicare Advantage plans.
3. Change Request 8813 enables Medicare Administrative Contractors to reject HH claims that list a manifestation code as a primary diagnosis.
4. Change Request 8818 clarifies the definition of “confined to the home” to more accurately reflect the corresponding definition delineated by the Social Security Act and to improve clarity and specificity surrounding its requirements.