Providers

Enhancements to Home Health Consolidated Billing Enforcement

Medicare instructions regarding delivery of non-routine supplies intended for use over an extended period of time have changed. Now suppliers are instructed to report the delivery date as the ‘from’ date and the date by which the supplies will be used in the ‘to’ date. When this causes the ‘to’ date on a supply line item subject to consolidated billing to overlap a home health episode, the service is rejected contrary to the original intent of this edit.

Effective Oct. 1, 2010, CMS will implement new requirements to modify this edit in order to restore the original intent to pay for supplies delivered before the home health episode began.

For more information, please contact Peter Notarstefano, (202) 508-9406.


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