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Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds
Home About Services Billing Compliance Review Claims Adjustments & Appeals Outsourced Billing & Pre-Billing Audits Training & Education News & Events Resources & Helpful Links Contact Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds https://www.npr.org/sections/health-shots/2021/04/20/988817003/humana-inc-overcharged-medicare-nearly-200-million-federal-audit-finds CONTACT OFFICE: 972.564.9548 | FAX: 972.564.9549FORNEY, TX 75126 STAY CONNECTED Facebook Twitter Linkedin Copyright © 2021 HomeHealthBillingToGo.com
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iQIES Issues with System Generated Final Validation Reports
This message is to inform you that iQIES is currently experiencing issues with the system generated final validation reports. This could include a delay in receiving your system generated final validation report or the inability to open the system generated final validation report. As a workaround, please manually request your final validation report. Our team
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Home Health Payment Corrections
On April 1, Medicare systems will correct three errors affecting the payment of Calendar Year (CY) 2021 claims: Claims spanning January 1 are applying CY 2020 rates in error Late Request for Anticipated Payment (RAP) penalties are not applying to outlier amounts Late RAP penalties are being applied after the Value-Based Purchasing (VBP) adjustment, when
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RESOLVED: Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match
RESOLVED: Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Current Status Date Resolved 2/17/2021 Status: When agencies use the new exception from MLN/CR 11855 and submit
38107 1st day not of period not matching final claim 0023 line
RESOLVED: Home Health: Reason Code 38107: Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Home Health: Reason Code 38107: Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Current Status Date Resolved 2/17/2021 Status: When agencies use the new exception from MLN/CR 11855 and
38107 1st day not of period not matching final claim 0023 line Read More »
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
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