Navigating Medicare: Home Health & Hospice Insights for Providers

National Government Services
  • 5.0 (11)
  • HOW TO
  • UPDATED BIWEEKLY
Navigating Medicare: Home Health & Hospice Insights for Providers

We invite you to join our thoughtful conversations and helpful insights into the Home Health & Hospice Medicare world. We will have a new episode on the 2nd and 4th Thursdays of each month, breaking down documentation and billing under the Medicare program for you.

  1. Removal of Beneficiary Eligibility from the IVR

    DEC 12

    Removal of Beneficiary Eligibility from the IVR

    Today we have a special episode from the Medicare Part A and Part B teams! Our colleagues from Parts A and B POE talk about the removal of beneficiary eligibility information from the IVR. Learn about what is being removed from the IVR and the different options providers have for obtaining that information after November 18, 2024. Links to material/website mentioned during this podcast: CMS Change Request 13754 Reminder – Beginning 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR NGSConnex User Guide for Part A, HHH and FQHC providers HIPAA Eligibility Transaction System (HETS) FISS DDE Provider Online Guide If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    16 min
  2. Happy Thanksgiving!

    NOV 28

    Happy Thanksgiving!

    We are taking a little break for the holiday. We’re so grateful for you and would like to wish our podcast family a very Happy Thanksgiving! If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    1 min
  3. Who Should I Call?

    NOV 14

    Who Should I Call?

    We have a new HHH team member to introduce in this episode! We also talk about all the different avenues for contacting National Government Services and where to go for all your questions! Take a look at the resources discussed in this episode: Provider Contact Center (https://prdnc.corp.ngsmedicare.com/web/ngs/contact-details?artid=248181&artfid=248178&lob=93618&state=97162&rgion=93624) J6 Provider Enrollment (https://prdnc.corp.ngsmedicare.com/web/ngs/change-existing-provider-enrollment-information?selectedArticleId=2095565&lob=93618&state=97162&rgion=93624) JK Provider Enrollment (https://prdnc.corp.ngsmedicare.com/web/ngs/change-existing-provider-enrollment-information?selectedArticleId=2095565&lob=93618&state=97282&rgion=93623) EDI Helpdesk (https://prdnc.corp.ngsmedicare.com/web/ngs/edi-enrollment?selectedArticleId=2091496&lob=93618&state=97162&rgion=93624) NGSConnex User Guide (https://www.ngsmedicare.com/web/ngs/ngsconnex-user-guide?selectedArticleId=1365618&lob=93617&state=97269&rgion=93624) If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    13 min
  4. Provider Appreciation

    OCT 23

    Provider Appreciation

    During this episode, we get to hear from Emily Fox-Squairs as she gives a heartfelt thank you to the provider community.

    2 min
  5. Documenting Hospice Terminality

    OCT 9

    Documenting Hospice Terminality

    Erin and Christa are together again to talk through how to ensure documentation meets Medicare requirements for hospice terminality. Erin gives some great advice on meeting the guidelines for the Certification of Terminal Illness (CTI) and talks through examples of detailed medical record notes. Take advantage of the awesome free resources discussed during this podcast: Hospice Documentation Checklist Hospice Documentation Tips Medicare Benefit Policy Manual (section 20.1) If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    22 min
  6. Don’t Be Scared – Be Prepared! (For an ADR)

    SEP 26

    Don’t Be Scared – Be Prepared! (For an ADR)

    An Additional Documentation Request (ADR) may seem overwhelming, so Erin and Christa talk about all the free resources that can help you effectively and efficiently submit your medical records in response to an ADR. Join our conversation and learn some good best practice tips, and also hear about the Targeted Probe and Educate Process. Here are some of the great free resources discussed during this podcast: Additional Documentation Request (ADR) Quick Reference Guide ( ADR Timeline Calculator Tips for Responding to a Hospice ADR Home Health Documentation Checklist Hospice Documentation Checklist Targeted Probe and Educate If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    25 min
  7. We're on Summer Break!

    JUL 18

    We're on Summer Break!

    NGS podcasts are on summer break and we will be returning in the fall.

    1 min
  8. Tackling Common Hospice Billing Questions

    JUL 11

    Tackling Common Hospice Billing Questions

    Erin and Christa get together to discuss some of the recent and commonly asked billing questions from our hospice providers. We discuss how to bill properly during a hospice transfer, what to do if the beneficiary is assigned a new MBI, and more! Click the links below for the helpful resources and areas of our website and the CMS website mentioned during the podcast: Medicare Claims Processing Manual (cms.gov) (chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c11.pdf) Medicare Benefit Policy Manual (cms.gov) (chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c09.pdf) Medicare Learning Network (MLN) | CMS (https://www.cms.gov/training-education/medicare-learning-network/resources-training) Hospice Billing - NGSMEDICARE (https://www.ngsmedicare.com/web/ngs/hospice-billing?selectedArticleId=1050858&lob=93618&state=97242&rgion=93624) If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSHHHPOE@elevancehealth.com.

    27 min
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Ratings & Reviews

5
out of 5
11 Ratings

About

We invite you to join our thoughtful conversations and helpful insights into the Home Health & Hospice Medicare world. We will have a new episode on the 2nd and 4th Thursdays of each month, breaking down documentation and billing under the Medicare program for you.

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