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Welcome to the Florida Home Bound Blog. This section of our website is specially designed to keep Home Care professionals updated on changes that are occurring in this industry. Click here if you want to submit any updates you find. Your contribution to our blog and/or suggestion is greatly appreciated.

 


Updated: 04/12/11

Requests for Anticipated Payment Incorrectly Rejected as Untimely
Since Change Request (CR) 7080 was implemented, requests for anticipated payments (RAPs) have been rejected as untimely when the associated final claim was still timely. CMS has determined that this is an error and has instructed Medicare contractors to bypass the enforcement of timely filing on RAPs.  Home health agencies affected by these cases should bring them to the attention of their Medicare contractors, who will bypass timely filing for these claims so they may be processed.
http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Home%20Health%20and%20Hospice~8FQGBT5815?opendocument
Applies to:
Jurisdiction 11 Home Health and Hospice//Home Health Agencies
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Home Health and Hospice Face-to-Face Encounter Requirement
Effective April 1, 2011, the Centers for Medicare & Medicaid Services (CMS) expects home health agencies and hospices have fully established internal processes to comply with the face-to-face encounter requirements mandated by the Affordable Care Act (ACA) for purposes of certification of a patient’s eligibility for Medicare home health services and of recertification for Medicare hospice services.
http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Home%20Health%20and%20Hospice~8FLNAV4387?opendocument
Applies to:
Jurisdiction 11 Home Health and Hospice//Home Health Agencies
Jurisdiction 11 Part A//General
Jurisdiction 11 Part B//General
Part B - Ohio / West Virginia//General - Part B
Part B - South Carolina//General - Part B
Railroad Medicare (RRB)//General - Railroad Medicare
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Jurisdiction 11 Home Health and Hospice//Home Health Agencies
Jurisdiction 11 Home Health and Hospice//Prospective Payment System (PPS) -
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Jurisdiction 11 Home Health and Hospice//Prospective Payment System (PPS) -
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