Dynamic List Information
Dynamic List Data
Transmittal #
R11341CP
Issue Date
2022-04-07
Subject
Corrections to Home Health Billing for Denial Notices and Calculation of 60-Day Gaps in Services
Implementation Date
2022-10-03
CR #
12657
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2022-04-28
Publication #
100-04
Transmittal Year
2022
MLN Connects® Newsletter Message
Corrections to Home Health Billing for Denial Notices and Calculation of 60-Day Gaps in Services
You don’t need to submit Notices of Admission before billing for home health denials. CMS will 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
We revised edit criteria to make sure Medicare systems calculate 60-day gaps in service consistently.
See the instruction to your Medicare Administrative Contractor (PDF).