Monthly Archives: October 2015

New Required G Codes for RN and LPN Visits for Medicare Home Health and Hospice

Medicare will be retiring G Code G0154 for Home Health and Hospice.  Beginning for Hospice date of service on or after January 1, 2016 and for Home Health episodes ending on or after January 1, 2016, agencies will need to … Continue reading

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Medicare Claim Processing Issues at CGS

Upon investigation CGS has also indicated claim processing issues and rejections for Final claims whose episode spanned  October 1, 2015.  CGS indicated any previously submitted claims that are currently listed in RTP for the  agency can be sent through for … Continue reading

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Medicare Claim Processing Issues with Palmetto

Palmetto has issued a notice regarding claim processing issues for Claims that spanned October 1, 2015.  Below is a direct quote from Palmetto.  It has been reported to Allegheny Software that claims are receiving the same Reason code from CGS. … Continue reading

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Update for Generating Invoices and ANSI 5010 claims

Agencies will need Main Office software version 5838 dated 10/9/15 or later before paper or ansi 5010 claims are generated using the ICD 10 format check box for services provided  10/01/15 or after, for patients who have a 485/Plan of … Continue reading

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PECOS

A new PECOS file is now available for download

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OASIS C1 ICD 10 XML files

Agencies will need Main office software version 5833 dated 10/7/15 when creating OASIS xml files for  OASIS C1 ICD 10 assessments.  OASIS xml files created for OASIS C1 ICD 10 assessments prior to version 5833 may receive fatal errors.  XML … Continue reading

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Transitional CBSA Codes Required for Hospice Claims

Agencies submitting Hospice claims will need to mark the check box found on the ANSI 5010 Billing screen, “use 2015 Transition CBSA Codes” when generating Hospice claims starting October 1, 2015 to pull the transitional CBSA codes to their hospice … Continue reading

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