Situation Report | May 2, 2022
The U.S. Centers for Medicare and Medicaid Services has recently issued Transmittal 11341 removes the requirement to submit a Notice of Admission (NOA) before billing for home health denial notices. The Transmittal also revises home health edit criteria to ensure Medicare systems calculate 60-day gaps in service consistently.
CMS will now process home health claims without an election period on file if the following are present:
- Type of bill 0320
- Condition code 21
- From date on or after January 1, 2022