CMS has released an updated operational guide and frequently asked questions (FAQs) on the home health Review Choice Demonstration.
The FAQs were updated Jan. 6 and include new questions related to the Patient-Driven Groupings Model (PDGM) which took effect Jan. 1. In one of these FAQs, CMS explains that agencies should not use the same Unique Tracking Number (UTN) on both 30-day payment period claims for a single 60-day episode of care.
Instead, when the multiple episode or billing period option is used, two or more UTNs will be generated. Each 30-day period will have it’s own UTN. Agencies should put the right UTN on the corresponding 30-day billing period claim to avoid claims being returned to provider.
The operational guide was updated in December without announcement.