CMS Implements a New Code for Home Health Claims

Posted on Wednesday, February 17, 2016 9:15 AM

As of July 1, CMS will implement a new condition code for home health claims to process even when skilled nursing services aren’t involved. Currently, home health claims submitted without skilled nursing visits are automatically returned to the provider. In certain circumstances, home health agencies are unable to deliver the skilled services planned, like an unexpected inpatient admission. Therefore, the agency is required to submit documentation to the Medicare Administrator Contractor for payment review. The new condition code would eliminate that step. For the full article, click here.

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!