Situation Report | June 15, 2020
National Government Services (NGS), New York’s Medicare Administrative Contractor, convened its most recent quarterly meeting of home health and association representatives for updates.
HCA Vice President for Finance and Management Patrick Conole has written a memo summarizing key updates for HCA’s home health members.
The memo includes several links to COVID-19 resources by NGS and the U.S. Centers for Medicare and Medicaid Services (CMS).
In other news, NGS has put provider revalidation on hold due to the public health emergency.
Also, NGS has reported a Comprehensive Error Rate Testing (CERT) of 5.79 percent for Jurisdiction 6, which includes New York and several other states/territories.
The memo outlines some of the top CERT denial reasons. It also summarizes the top three denials stemming from the Targeted Probe and Educate (TPE) audit process as well as some basic tips to avoid these denials. While TPE is currently suspended, due to the public health emergency, it focuses on billing requirements that providers must abide, irrespective of a particular audit initiative.
In addition, NGS reviewed some upcoming education programs that providers should be on watch for.