tci Medicare Compliance & Reimbursement - 2019 Issue Q3
Industry Note: ZIP Code Edit Leads to Hospice NOE Errors
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Article Overview
This article covers a Medicare Administrative Contractor alert about a claims system problem affecting hospice Notices of Election submissions. It is relevant to hospice billing and reimbursement staff, coders, and administrators who need to understand the scope of the issue, the system involved, contractor instructions, and the timing of the anticipated fix.
Why This Topic Matters
Hospice organizations may experience erroneous returned claims activity because of a system-level edit issue. Understanding the contractor guidance helps providers recognize the problem, follow current processing instructions, and reduce delays in NOE acceptance.
Article Sections
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Problem
Summarizes the claim-processing issue reported by Medicare contractor guidance and identifies the system area involved.
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Solution
Describes the expected timing of a system fix and the interim submission and exception-handling guidance referenced by contractors.
What You Will Learn
- The nature of a hospice NOE claims-processing issue reported by Medicare contractors
- Which organizations and system components are mentioned in the alert
- The general types of temporary workarounds and exception processes discussed
- When the contractor expects the processing issue to be resolved
Who Should Read This
- Hospice billing staff
- Medical coders
- Revenue cycle managers
- Provider office administrators
- Medicare reimbursement specialists
Codes Discussed
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