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Jurisdiction M (JM) Home Health and Hospice (HHH) POE Advisory Group (POE-AG) Meeting Minutes - April 15, 2021


Jurisdiction M (JM) Home Health and Hospice (HHH) POE Advisory Group (POE-AG) Meeting Minutes
April 15, 2021, at 2 p.m. ET

Facilitators
Dan George, MaKisha P. Callaham, Cara Mia Wilkins, Elizabeth L. Brogdon and Charles Canaan

Attendees: 17

Welcome

Our Goals

  • Establishing and maintaining strong relationships with Palmetto GBA and our provider community 
  • Meeting with Palmetto GBA and the provider community on a quarterly basis 
  • Providing the communication tools to facilitate thorough and prompt transfer of information 
  • Coordinating issues within the provider community to adequately reflect the concerns of the majority

POE-AG Goals and Purpose — HHH POE-AG Charter.

Old Business: Prior POE-AG Suggestions/Recommendations: 

  • Can Palmetto GBA to create a guide or job aid for the RAP changes in 2021?
    • The 2021 Penalty for Delayed Request for Anticipated Payment (RAP) Submission for Home Health Agencies — Frequently Asked Questions (FAQ) have been posted

New Business: POE-AG Training Suggestions and Education Recommendations

Participating members have the opportunity to benefit the provider community by helping to guide Palmetto GBA educational strategy for the upcoming year.

Information to Share

  • New Look to Our Website
    • Check out our new look! On April 3, 2021, we launched our new website. Register today for this recorded presentation that gives you a tour through the new organization and navigation structure, the new pages for popular topics, and some additional enhancements that will improve your website experience.
  • 2021 Penalty for Delayed Request for Anticipated Payment (RAP) Submission for Home Health Agencies — Frequently Asked Questions (FAQ) (PDF, 84 KB)
    • These are the questions and responses about the 2021 Penalty for Delayed Request for Anticipated Payment (RAP) Submission for Home Health Agencies. These FAQ were developed as a result of the changes implemented by Change Request 11855.
  • Hospice Beneficiary Election Statement Addendum Frequently Asked Questions (FAQ)
    • These are questions and responses about the Hospice Beneficiary Election Statement Addendum
  • HHAs: Ensure You Use the Proper Core-Based Statistical Areas (CBSAs) Code on Claims
    • This article is a reminder for home health agencies (HHAs) to use the correct Core-Based Statistical Areas (CBSAs) codes under the home health (HH) Prospective Payment System (PPS)
  • Home Health Payment Corrections
    • Medicare systems will correct three errors affecting the payment of calendar year (CY) 2021 claims

COVID-19 Updates

  • Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension
    • In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow. This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension; the MACs will automatically reprocess any claims paid with the reduction applied if necessary.
    • Accelerated and Advance Payment Repayment & Recovery Frequently Asked Questions (PDF, 84 KB)
  • CMS Fact Sheet: Repayment Terms For Accelerated and Advance Payments Issued to Providers and Suppliers During Covid-19 Emergency (PDF, 71 KB)
  • COVID-19 Accelerated/Advance Payment (AAP) Repayment FAQ
  • Please see updated FAQ #4, which states eCheck submissions of CAAP repayments cannot be processed at this time. As an alternative, please either submit a hard copy check to Palmetto GBA, or wire payments directly to Palmetto GBA. If you would like to wire your repayment, please send an email to JM.FINANCIALRELIEF@PalmettoGBA.com. 

RCD News

Upcoming Education Events

  • Ask the Contractor Teleconferences (ACT) — 2021 schedule 
    • The teleconference call-in for all dates is 800–374–0740 and all are scheduled for 1 p.m, ET
      • July 13, 2021 – Pass Code: 3535248
      • October 12, 2021 – Pass Code: 4087857

eServices

  • We've Made it Easy to Identify Your eServices Administrator
    • Your eServices administrator can add and remove users, as well as grant access to a variety of eServices features for all active users. We are pleased to announce that the Palmetto GBA eServices portal will now display the names of up to three administrators, which are viewable by all active users. Providers will no longer have to call our Provider Contact Center (PCC) to retrieve this information.
  • Overpayment Balance Information in eServices
    • We are pleased to announce that providers are able to view overpayment balance information via our eServices online portal. Currently, providers do not have the ability to view their active overpayment balances and must contact the PCC to obtain this information. At Palmetto GBA, we are committed to enhancing the provider experience. This is another step in enhancing our one stop shop for providers to view their financial data.
  • Discontinuation of Comparative Billing Reports (CBRs) for Home Health Requests for Anticipated Payment (RAP) Cancellations
    • With the Requests for Anticipated Payment (RAP) changes in MLN Matters Number: MM11855, Palmetto GBA is discontinuing the Comparative Billing Report (CBR) in eServices that focused on the percentage of RAPs cancelled for home health agencies

Open Discussion

Question: For educational purposes, can Palmetto GBA publish good and bad examples of provider exception requests for late RAPs? 

Answer: Yes. Palmetto GBA will develop this and publish it in the near future. 
 

Next Meeting: July 15, 2021





Last Updated: 04/26/2021