Industry Notes

Why This Topic Matters

The update highlights operational issues that can affect claim submission, medical record support, and payment stability. It is relevant for organizations that bill Medicare and need to stay current on contractor messaging and documentation expectations.

Article Sections

1. CMS Knows You’re Confused About POS Rules

   This section discusses CMS communication about place of service reporting and related FAQs. It also references cross-jurisdiction service scenarios and national enrollment guidance in development.

2. This MAC Denied 31 Percent of Hospice Claims

   This section summarizes a Medicare Administrative Contractor probe of hospice claims across benefit periods. It focuses on denial trends and documentation-related review findings.

3. Don’t Attempt To Adjust Re-Determined Claims

   This section covers a contractor reminder about claim adjustment timing after redetermination activity. It addresses the scope of claim changes that should occur before that process.