To All HAS Clients:

Please refer to the HAS PDGM Billing and HAS PDGM Q&A for questions pertaining to processing PDGM claims as well as other important regulatory information to avoid OASIS rejections and payment delays.

Important to note:

• Be sure to register for the new iQIES system by 12/23/2019 to avoid delayed payments!

https://www.cms.gov/files/document/SE19025

• There is a waiver for the M0090 Assessment Completed Date rule for patients being recertified in the last 5 days of 2019 for periods starting in 2020.

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIOASISUserManual      

• MACs will hold PDGM claims for processing until their implementation date of 1/6/2020.  Expect delayed payment for PDGM claims submitted between 1/1/2020 -1/5/2020 as a result.

• Although not part of the Final Rule changes, be sure to update your patients’ Medicare contract number to the their new MBI prior to submitting claims 1/1/2020, regardless of dates of service. Failure to do so will cause claims to reject.

In addtion, we will be closed for the holidays on the following days:
 

Christmas:

Tuesday - December 24th, 2019

Wednesday - December 25th, 2019

New Year's:

Wednesday - January 1st, 2020

Happy Holidays!

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