Bulletin: April 7th, 2020
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April 7th, 2020 |
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HOME HEALTH: RCD pauseBy Kathy Royer, RN, BA, MBA, DMin, CHPN, CHPCA, CEHCH andBeth Foster, RN, BA, CPHQ, CEHCH The impact of the COVID-19 outbreak has resulted in a number of regulatory changes for Home Health and Hospice providers. Among the changes is the ability for Home Health providers to choose to pause Pre Claim Review (PCR) during the Public Health Emergency (PHE). This change was effective March 29, 2020. We have had a number of questions asking for clarity about the March 29th date. Question: I received the following question and need clarification please: “I would still like to verify that the dates of services don't need to be March 29th and after. When you read the last question on page 2, it seems clear that it is saying "Claims for services FURNISHED on or after March 29th". Please let me know what you think.” The following is from: 2019-Novel Coronavirus (COVID-19) Provider Burden Relief, Frequently Asked Questions (FAQs) March 2020: ”Claims for home health services furnished on or after March 29, 2020 and before the end of the PHE for the COVID-19 pandemic in these states (Illinois, Ohio, and Texas) will not be subject to the review choices made by the home health agency under the demonstration.” My question -- Is it the claims with covered services that were provided prior to March 29, 2020? Or the HHA providers must wait until they bill for the services that on or after March 29th? Answer: It is our understanding that this verbiage means that any claims that are submitted on or after March 29, 2020, are not subjected to the demonstration. This is submission date driven and not date of service driven. At this time, it is set to expire when the PHE is over. If we hear otherwise, we will let you know. I hope this clarifies the question, if not please let me know. OCHCH wants Home Health providers to know if they choose to pause PCR during the PHE, they can submit the final claim for payment without the UTN. However, after the PHE is over, PCR claims submitted for final payment without the UTN, will be ADR’d at 100%.
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Kathy Royer, RN, BA, MBA, DMin, CHPN, CHPCA, CEHCH and Beth Foster, RN, BA, CPHQ, CEHCH
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News Clips & Links |
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HOME HEALTH and HOSPICE: Molina Healthcare of Ohio Announces $150,000 Commitment to Fund Purchase of PPE,Molina news release, April 2, 2020
HOME HEALTH and HOSPICE: COVID-19 Update: Sites Selected for Enhanced Hospital Capacity; Ohio National Guard to Assist Federal Prison; Dispute Resolution Commission Now Active, Ohio, April 6, 2020
HOME HEALTH and HOSPICE: Ohio health workers to test oral antiviral spray for prevention of coronavirus infection, The Columbus Dispatch, April 2, 2020
HOME HEALTH and HOSPICE: U.S. home healthcare industry warns of possible 'collapse', Reuters’ Business News, March 26, 2020
HOME HEALTH and HOSPICE: CMS Accelerates Medicare Payments During COVID-19, Hospice News, April 1, 2020
PALLIATIVE CARE: Palliative Care Providers Mobilize During COVID-19, Hospice News, April 6, 2020
HOSPICE: Hospice Board, Executive Coordination Essential to COVID-19 Response, Hospice News, April 1, 2020
HOSPICE: Older Americans Act Reauthorized with Funds for Hospice Family Caregivers, Social Determinants, Hospice News, April 1, 2020
HOSPICE: Advance Care Planning Remains a Priority During COVID-19, Hopsice News, April 3, 2020
Ohio Council for Home Care & Hospice 1105 Schrock Rd., Suite 120, Columbus, OH 43229 (614) 885-0434 www.ochch.org |