Expansion of the Current Scope of Editing for Attending Physician Providers for FreeStanding and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)
The CMS is expanding the claim editing to meet the Social Security Act
requirements for the attending physician when a plan of treatment is needed and submitted from an HHA.
The expansion will verify the attending physician provider on an HHA claim is eligible and is enrolled in
Medicare by allowing FISS to match data on a provider billed claim to that of a national PECOS file. The
editing expansion will be done in two phases.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 08, 2010
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