We also manually enter all meds as they are received by the client

 

 

 

Our hospice biller hand enters all the prescriptions that are missing before billing. We do not do the electronic RX  batch you do. You may need to improve process for the electronic RX batch so it is done sooner. That makes for cleaner billing.

 

 

This is a question pertaining to medicare hospice claims and submission.

 

Because hospice claims now require rx detail,  we are forced to wait nearly a month before we can submit claims from the previous month because we have to wait for the electronic batch rx download.

 

In some cases this means that the medicare common working file will not reflect the most current election information when a patient discharges and I prepare the 81B.

 

Consequently when I submit an 81B in these cases,  it will be returned because that election is not showing in the CWF,  and by the time the 81B can be resubmitted, it will be beyond the required 5 days.    I realize that while the late NOTR (81B) is not being penalized yet, it can only be a matter of time.

 

The only solution I can think of is to hand enter the preceding and final claim without the RX information, and then adjust them with the rx information at a later date.

 

Does anyone have a better solution?

 

 

Steve Hotvedt

Healthpartners Hospice and Palliative Care

steve.w.hotvedt@healthpartners.com

Phone:  651-415-4015

Fax:  651-415-4010

 

 

This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited.

If you have received this communication in error, please return it to the sender immediately and delete the original message and any copy of it from your computer system. If you have any questions concerning this message, please contact the sender. Disclaimer R001.0