Industry Notes: You May Need to Resubmit AWV, IPPE Claims, CMS Says

Why This Topic Matters

The article highlights issues that can affect payment timing, claim handling, reporting workflows, and documentation practices across multiple Medicare-related settings. It is relevant to organizations that need to track agency guidance and operational updates that may impact reimbursement and compliance.

Article Sections

1. Rural health clinic preventive visit claim issues

   Covers a CMS notice about claims processing problems affecting preventive visit billing for rural health clinics and the temporary resubmission guidance provided to providers.

2. Senate confirms official CMS Administrator

   Notes the confirmation of a permanent CMS Administrator and includes a brief reaction from a home care and hospice organization.

3. CMS wants your feedback on PQRS measures

   Describes CMS’s invitation for providers to suggest future quality measures and identifies the broad areas of interest for the reporting program.

4. Get ready for more state scrutiny of your data

   Summarizes an HHS OIG final rule related to state Medicaid fraud control units and the use of data analysis activities with federal matching support.

5. Face-to-face visits aren’t required for all home care patient updates

   Explains Medicare contractor guidance on face-to-face encounter requirements for home health episodes and when additional documentation is or is not needed.

6. Patient insists on service but refuses to sign ABN? Get a witness

   Summarizes contractor guidance on documenting a beneficiary’s refusal to sign an advance beneficiary notice and the use of witnesses and annotations.