Tag: Medicare Administrative Contractor

Hospice period dates not calculating correctly through Common Working File

Some hospice period dates have not been calculating correctly through the Common Working File (CWF), according to Medicare Administrative Contractor (MAC) Palmetto GBA. Period three and later should be no more than 60 days from the start through termination dates. Palmetto found that third or later periods have more than 60 days calculated in the […]

CMS reminds providers to use submit claims using SSN-free Medicare cards

Agencies have about four months to ensure they submit all claims using new Medicare beneficiary identifiers (MBIs). Providers will be required to use those MBIs on claims beginning Jan. 1, 2020. CMS completed all seven waves of its mailings earlier this year, and the push to transition to the new MBIs is ongoing. The federal […]

Ask the expert: MAC audits

Q: We recently went through a Medicare probe at my facility and a part of the probe was denied because a MDS was not in the national repository.  How can I find out which MDS they were speaking about? I have submissions that state all of my MDS’ for this particular resident were accepted. A: You […]