tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Industry Note: ZIP Code Edit Leads to Hospice NOE Errors

A claims system glitch has been returning numerous Notices of Election (NOE) to hospices in error, but a fix is on the horizon, indicates Medicare Administrative Contractor (MAC) guidance. Problem: “NOEs submitted beginning 7/1/2019 are being RTP for the provider ZIP Code,” HHH MAC National Government Services says in an email to providers. “The reason code the NOEs are receiving is 32114. It has been determined the issue is in the Fiscal Intermediary Standard System (FISS).” Normally NOEs aren’t edited for ZIP code, notes HHH MAC CGS on its website. Solution: A fix is...

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