Medicare Claims Spanning 2020-2021 Incorrect Claim Payments

Home Health: Claims Spanning 2020-2021 Not Applying Correct 2021 Payment Rate

Home Health: Claims Spanning 2020-2021 Not Applying Correct 2021 Payment Rate

Current Status

Date

Open

2/11/2021

Status: The system maintainer and CMS are aware of this issue.

Provider Action: No provider action is necessary at this time. We will provide updates when applicable.

Issue Description

The CY 2021 HH PPS payment rates should apply for periods with claim statement ‘Through’ dates on or after January 1, 2021. The system is incorrectly applying CY 2020 HH PPS payment rates for claims spanning 2020-2021.