DADS released two information letters:
NFs and Hospice providers:
DADS offered guidelines and instructions to manage the most common errors that result in NF and Hospice claim rejections and denials. An excerpt:
“Providers are encouraged to review and share this information with their billing staff to reduce errors and maximize efficiency.
“During the first three quarters of the state Fiscal Year (FY) 2010 (September 2009 through May 2010), the Claims Management System (CMS) processed 4,393,710 NF claims; this included 146,331 NF claims that were rejected and another 159,565 NF claims that were denied. During the same timeframe, CMS processed 299,735 Hospice claims; this included 9,438 Hospice claims that were rejected and another 8,196 Hospice claims that were denied.”
Hospice providers:
DADS notified providers that they can bill for tracheostomy services provided to residents in nursing facilities, effective August 1, 2010. (Letter)