HHS has put together a primer on navigating the complex Medicare Appeals process. According to NHPCO, The Medicare Office of Medicare Hearings and Appeals reports a backlog of more than 880,000 appeals at the end of FY2015. HHS has also issued a new proposed rule to help minimize the backup.
Palmetto GBA has posted the hospice medical review top denial reason codes and how to avoid them for April - June 2015. We encourage hospice provider to review this information before filing claims to help prevent denials and ensure claims are processed timely.