tci Medicare Compliance & Reimbursement - 2003 Issue 23

PROGRAM MEMO ROUNDUP

Home health agencies in Connecticut and Massachusetts may be in line for a paperwork break when it comes to dual eligible beneficiaries. In a May 30 program memorandum (A-03-046; http://cms.hhs.gov/manuals/pm_trans/A03046.pdf), the Centers for Medicare & Medicaid Services outlines a new demonstration project that uses sampling to determine the Medicare share of home health claims for services provided to dual eligibles and paid for by Medicaid. The process will replace the cumbersome assembly of Medicare documentation from HHAs for all dual-eligible claims the state may have paid erroneously. "This process will eliminate the need for the HHAs...

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