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Denials of Home Health Payments Due to Late Submission of OASIS Conference Call

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Does your agency have denials for late submission of OASIS; but your agency submitted the OASIS timely? This conference call sponsored by the Home Care Alliance is a must for you. Mary Carr, NAHC, VP of Regulatory and Clinical Affairs will review the process for the new CMS billing edit related to late submission of OASIS, (CR9585) that went into effect for receipt of final claims with services dates on or after April 1, 2017. The billing edit is intended to ensure that the OASIS was accepted into the Quality Information and Evaluation System (QIES) prior to billing the claim. The claim will deny if the OASIS is not found and it is more than 40 days between M0900 (Assessment completion date) and the date the claim was submitted. The claim will also deny if the following do not match in the QIES: HHA CMS Certification Number (OASIS item M0010); Beneficiary Medicare Number (OASIS item M0063); Assessment Completion Date (OASIS item M0090); Reason for Assessment (OASIS Item M0100) equal to 01, 03 or 04. Your agency may be receiving denials If any of these items are inconsistent between the OASIS and the claim. “Warnings” on the OASIS Validation Report related to any of these items will need to be corrected and the OASIS re-submitted. Mary will review the process for compliance with this edit. HCA members are reporting that they have complied with the 30 days submission but are receiving denials because the OASIS was not recognized in the QIES, if you are having these billing denials; please register for the conference call.

Live session held on 7/6/2017

Payment is required before receiving webinar content. Once payment has been applied you will receive an automatic email with an attachment that provides the link to the webinar recording as well as the handouts (if applicable).