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CMS Issues Rural Add-On Instructions

Thursday, December 6, 2018   (0 Comments)
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December 6, 2018, NAHC Report 

 

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 10782 which provides instructions to the Medicare Administrative Contractors (MACs) on the rural add-on for home health claims as required by Section 50208 of the 2018 Bipartisan Budget Act (BiBA).

Beginning January 1, 2019 payment increases will be applied to home health services furnished in rural areas based on county designation. In the CR, CMS notes that the BBA requires that "in the case of home health services furnished on or after January 1, 2019, the claim contains the code for the county (or equivalent area) in which the home health service was furnished”. Therefore, all home health claims must include the county code. CMS received approval for a new value code (85) to be place on claims that is defined as “County Where Service is Rendered”


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