Cash Flow Interruptions for Home Health Final Claims

CMS to Hold Specific Claim Types for 2 Weeks.

Providers need to plan accordingly as CMS issued a notice yesterday that due to a problem with the quarterly release that will not be fixed until April 14th, home health final claims with a through date of April 1st or after will not be released into processing until April 15th.

The issues affect:

  • All Home Health final claims
  • Outpatient Critical Access Hospital (CAH) and Rural Health Clinic (RHC) claims where dollars have been applied to the beneficiary deductible
  • The remittance advice summary payment amount for Medicare Advantage inpatient prospective payment system (IPPS) claims with indirect medical education (IME).

For full details click here.