The Situation Report: the Home Care Association of New York State
Volume 2, No. 16 April 17, 2017
the DCN, HICN, and/or a copy of the ADR letter. If faxing more than one batch of documents, be sure to include that on the cover sheet, (i.e., batch 1 of 3, batch 2 of 3, etc.). If the fax submission is not working, please choose an alternative method of delivery, (i.e., USPS, CD, esMD, NGSConnex). Additional information is available on NGS’s website under the Medical Policy and Review tab/Medical Review.
Reminder: Only Zero Charges Allowed on Revenue Line 0023 – NGS says it has received many claims recently billed with charges other than zero on the 0023 revenue line. Yet, both requests for anticipated payments (RAPs) and episode final claims must be billed with zero charges on revenue line 0023. Any charges other than zero cause claims processing errors and are out of compliance with home health billing guidelines.
The U.S. Centers for Medicare and Medicaid Services (CMS) Claims Processing Manual (https:// www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c04.pdf) states that total charges are required for this revenue line and “The HHA reports zero charges on the 0023 revenue code line.” For further information, contact Patrick Conole at (518) 810-0661 or pconole@hcanys.org.
Early Intervention FAQs Posted The state Department of Health (DOH) has posted Frequently Asked Questions (FAQs) on the Early Intervention (EI) program. The FAQs are on the Health Commerce System (https://commerce.health.state.ny.us/public/ hcs_logout.html) and also at http://hca-nys.org/wp-content/uploads/2017/04/Early-Intervention-FAQs_April-2017.pdf. The FAQs cover: contents of a session note; record retention requirements; use of electronic records; changes in eligibility; transfer of cases; use of ICD-10 codes; provider continuing education requirements; components of a quality assurance plan; and others.
Resources
“Medicare Provider Education: Oversight of Efforts to Reduce Improper Billing Needs Improvement,” by the U.S. Government Accountability Office http://www.gao.gov/assets/690/683312.pdf
“Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs,” by the U.S. Government Accountability Office http://www.gao.gov/products/GAO-17-365
For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.
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