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Claims System Update Plagues Providers

DES MOINES, IA (Home Care Wire) Home care providers are still facing claims processing headaches due to the Fiscal Intermediary Shared System update that went into place April 7.

 

“Claim accounts receivables (ARs) that originated under your Oscar provider number are not being offset by the claim payments and settlement payments that are now being generated under your Oscar/National Provider Identifier,” explains regional home health intermediary Cahaba GBA in a recent message to providers.

 

 “You may receive demand letters when the claim AR becomes 60 days old,” Cahaba says. “Please submit payment as instructed.”

 

Home health agencies served by National Government Services still aren’t seeing correct remittance advices. They’ve been receiving one for their NPI number and one for their legacy number and they don’t always reconcile.

 

Some RAs also have multiple payor and payee loops, NGS adds in a message to providers.

 

Providers have asked “about the possibility of recreating the electronic remittances affected by the above issues,” NGS notes. CMS says “remittances will not be recreated as a result of the problems identified above.”

May 2, 2008, 09:07

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