Medicare Advantage HIPPS Code Requirement Delayed

CMS has confirmed that the edit to reject Medicare Advantage plan claims for not having a HIPPS code for home health services will not be activated until December 1, 2013. Therefore, the MA plans and the HHAs have until that time to make the necessary system adjustments to place a HIPPS code on MA claims.

In addition, CMS has instructed the MA plans to communicate the HIPPS code requirements with HH providers so that they are able to make any changes to their systems. Agencies should contact their contracted MA plans for further instructions in complying with this requirement.  

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